Stormwater - No Exposure Certification

Facility Name: QUALITY CHEF FOOD - 3RD ST. WAREHOUSE

Permit Type: No Exposure Certificate Legal Status:

Expiration Date: (no exposure) Address: 1100 3RD STREET S.E. - CEDAR RAPIDS , IA *

County: LINN Field Office: 1 SIC: 4222 Geospatial Information: 615900(X)/4659615(Y)

No Exposure Certification



Application Date:	MM/DD/YYYY
Previously covered under a NPDES Storm Water permit?
If yes, enter permit number:
Certification Signed?
Permit Type:
SIC:
Notes:
Eligibility Confirmed Date:	MM/DD/YYYY
Not Eligible For Storm Water Exclusion Date:	MM/DD/YYYY
Application For Storm Water Exclusion Approved Date:	MM/DD/YYYY
Expiration Date Of Exclusion:	MM/DD/YYYY