Form 9-4015-A Common Clay and Shale and Fire Clay

RESTON, VIRGINIA 20192

1. Status during year. (Check one or more)

2.

(1) Total number of mines or pits covered in this report

; list names and locations of other operations not covered in 1.

(2) Did you produce clay or shale from any other operations not included in this report for which you did not receive a report form?

3. Mining methods (Check one or both)
4. Did you produce at this mine any other mineral products as byproducts or coproducts?

5. Clay sold or used and production capacity during year by kind.
Report clay of your own production. Include material produced for you under contract and exclude purchased material. Give fair market value for captive tonnage and rated
capacity.

Report in short tons). Include only the clay that you produced, DO NOT include purchased clay.