Stormwater- Affiliates

Facility Name: BIOLIFE PLASMA CENTER - NEW FACILITY

Permit Type: GP #2 Legal Status: Private     File No: 12388   Authorization No: 12388-12174

Expiration Date: 9/7/2007 (discontinued) Address: 1220 ASSOCIATES DRIVE - DUBUQUE , IA 52002

County: DUBUQUE Field Office: 1 SIC: Geospatial Information: 656979(X)/4706693(Y)

Affiliates   Name Address City State Zip Phone Type LUCKSETICH & SPAHN DEVELOPMENT CO. 300 MAIN STREET, SUITE 323 DUBUQUE IA 52001 (563)556-1996 Owner CHRIS SPAHN 300 MAIN STREET, SUITE 323 DUBUQUE IA 52001 (563)556-1996 Contact 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