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STATES: GROUP (choose A-I from Fee Schedule) Check all that apply: AL HI ME NM SD AK ID MI NY TN AZ IL MN NC TX AR IN MS ND UT CA IA MO OH VT CO KS MT OK VA CT KY NE OR WA DE LA NV PA WV FL MA NH RI WI GA MD NJ SC WY CATEGORIES: Mining Solid & Hazardous Waste Misc. (Civil) REPORT TYPES: (check choices below) Construction Reports Engineering Reports Monthly Reports by Regular Mail Monthly Reports by E-Mail Please complete the information below and return with check made payable to: Project Search Inc. 6192 Wilder Court, Parker, CO 80134 For questions contact us at: Phone: (303) 841-5564 Fax: (303) 841-1368 E-Mail: info@projectsearchinc.com TOTAL AMOUNT ENCLOSED $ LAST NAME: FIRST NAME: COMPANY NAME: PHONE: FAX: E-MAIL: ADDRESS (line one): ADDRESS (line two): COMMENTS: | 
