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1 <br />• -ii iiiiiiiiii • <br />Permittee Name,: :Nalco, Inc. <br />Operation Name: <br />Permit No: 77-222 <br />Anniversary Date: January 25 <br />.l' ~.-~~..._ <br />~ ,:,192 Attachment <br />,. <br />F=3 3 i92,; <br />n~ <br />I. .. _Y <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />I~ Check or money order payable to Colorado I~iined Land C?,~.-~ ~ ~"' <br /> Reclamation Division for annual fees due %~ <br />ICI Annual Report <br />I~ Map <br />(Rev. 5/84) <br />Doc. No. 1805 <br />