Stormwater - Affiliates

Facility Name: AJINOMOTO HEARTLAND, LLC - CONSTRUCTION ACTIVITIES

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 19415 Authorization No: 19415-19192

Expiration Date: 1/31/2012(discontinued) Address: 1 HEARTLAND DR. - EDDYVILLE , IA 52553-5001

County: MONROE Field Office: 5 SIC: Geospatial Information: 529797(X)/4556340(Y)

Affiliates

Individual?

Type:*

Name:

Title:

Company Name:

C/O:

Address:

Address 2:

City/State/Zip

E-mail:

Contact Owner

Preferred Method of contact

Business Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Ext:

Home Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Fax:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Mobile Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX