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RECLAMATION FILL SOURCE - glasgowinc.com

Please complete, sign and submit this form with any relevant environmental due diligence information pertaining to the fill SOURCE and submit to Glasgow, Inc. FOR OFFICE USE ONLY: Rejected Reviewed By: Date: A ccepted Glasgow, Inc. SOURCE #: RECLAMATION FILL SOURCE APPROVAL INFORMATION SHEET Contractor/Customer Information Company: Name & Title: Property Address: Customer #: Phone: City, State & Zip: Email: Jobsite/Material Information RECLAMATION Facility Property/Project of Origin: Ivy RockMcC oyMontgomery Stone Property Address: Start date: Est. Vol. (CY): City, State & Zip: End date: Est. # of Loads: Due Diligence/Materials Description (Please fill out & check all that apply to the generating site.)

Please complete, sign and submit this form with any relevant environmental due diligence information pertaining to the fill s ource and submit to Glasgow, Inc.

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