Form 9-4142-Q CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRAVEL

AG1-Q - CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRA...

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OMB Control No. 1028-0065
Approval expires: 7/31/2010

USGS Form 9-4142-Q
Ind. (rev. 3/15/2007)
AG1

UNITED STATES
DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
986 NATIONAL CENTER
RESTON, VIRGINIA 20192
_______________
CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRAVEL
_______________
Please complete all applicable portions of this form
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INDIVIDUAL COMPANY DATA PROPRIETARY

Name of company.
Crushed and broken stone.
Construction sand and gravel.
Remarks.
Person to be contacted regarding this report.

Company.

Controlling company name
Controlling company ID
Operating (subsidiary) company name
Operating (subsidiary) company ID
Address
City or town
County
State / Territory / Province

Not specified

ZIP Code / Postal Code
USA

Country

Section 1. Crushed and broken stone.
What was the total amount of crushed and broken stone sold and/or used for the previous quarter in each State in
which you operated?

State

CRUSHED AND BROKEN STONE
QUARTER
No. of
1ST
2ND
3RD
operations
Jan. - Mar.
Apr. - Jun.
Jul. - Sep.

4TH
Oct. - Dec.

Please specify

https://miforms.er.usgs.gov/ViewForms/AG1Form.asp?canvassCode=AG1

8/4/2009

AG1-Q - CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRA...

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Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify

More States

Section 2: Construction sand and gravel.
What was the total amount of sand and gravel sold and/or used for the previous quarter in each State in which you
operated?

State

CONSTRUCTION SAND AND GRAVEL
QUARTER
No. of
1ST
2ND
3RD
operations
Jan. - Mar.
Apr. - Jun.
Jul. - Sep.

4TH
Oct. - Dec.

Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify
Please specify

https://miforms.er.usgs.gov/ViewForms/AG1Form.asp?canvassCode=AG1

8/4/2009

AG1-Q - CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRA...

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More States

Remarks:

Person to be contacted regarding this report.
First name:

Last name:

Title:
E-mail:
Address:
City:
State / Territory / Province: Not specified
ZIP Code / Postal Code:
Country:

USA

Phone:
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https://miforms.er.usgs.gov/ViewForms/AG1Form.asp?canvassCode=AG1

8/4/2009