Form 9-4142-Q Crushed and Broken Stone & Construction Sand and Gravel

AG1-Q - CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRAVEL

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OMB Control No. 1028-0065
Approval expires: 4/30/07

USGS Form 9-4142-Q
Ind. (rev. 6/5/2006)
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
z
z
z
z
z

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
Please specify
Please specify
Please specify

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3/15/2007

AG1-Q - CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRAVEL

Page 2 of 3

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

More States

Remarks:

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3/15/2007

AG1-Q - CRUSHED AND BROKEN STONE & CONSTRUCTION SAND AND GRAVEL

Person to be contacted regarding this report.
First name:

Page 3 of 3

Last name:

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

USA

Phone:
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INDIVIDUAL COMPANY DATA

Page 1 of 1
INDIVIDUAL COMPANY DATA - PROPRIETARY

Unless authorization is granted by you, the data furnished in this report will be treated in confidence by Department
of the Interior, except that they may be disclosed to Federal defense agencies, or to the Congress upon official
request for appropriate purposes. Unless objection is made in writing to the USGS, the information furnished in this
report may be disclosed to the respondent's State Geological Survey (or similar State Agency) if the State has
appropriate safeguards to prevent disclosing company proprietary data.
Public reporting burden for this voluntary collection of information is estimated to average 10 MINUTES per
response. A Federal agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a valid OMB control number. Comments regarding this collection of information should
be directed to: U.S. Geological Survey, Statistics and Information Systems Section, 988 National Center, Reston,
VA 20192.
Collection of nonfuel minerals information is authorized by Public Law 96-479 and the Defense Production Act. This
information is used to support executive policy decisions pertaining to emergency preparedness, national defense,
and analyses for minerals legislation and industrial trends. The USGS relies on your voluntary and timely response
to assure that its information is complete and accurate. Please complete a separate form for each operation that
was active during the calendar year. Use zero (0) when appropriate.
If you have any questions concerning completion of this form, please contact the Mineral Commodities Data Unit,
U.S. Geological Survey, 985 National Center, Reston, VA 20192, Telephone (703) 648-7960.
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3/15/2007