Stormwater- Affiliates

Facility Name: MIDWEST HEALTH MANAGEMENT

Permit Type: GP #2 Legal Status: Private     File No: 10180   Authorization No: 10180-9983

Expiration Date: 9/19/2006 (discontinued) Address: 1200 N 7TH STREET - CHARITON , IA 50049

County: LUCAS Field Office: 5 SIC: Geospatial Information: 474513(X)/4541882(Y)

Affiliates   Name Address City State Zip Phone Type SOIL TEK 4400 NE 14TH STREET DES MOINES IA 50313 (515)244-7474 Contact MIDWEST HEALTH MANAGEMENT 3715 SW 29TH STREET TOPEKA KS 66614 (785)354-0767 Owner Individual? Type:* --AFFILIATE TYPE-- OWNER OPERATOR CONTACT CERTIFIER Name: Title:   Company Name: C/O:   Address: Address 2: City/State/Zip   --Select-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY PR OT E-mail:   Contact Owner   NO YES Preferred Method of contact EMAIL US MAIL 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