Stormwater- Affiliates

Facility Name: EMBRIA HEALTH SCIENCES, LLC

Permit Type: GP #1 Legal Status: Private     File No: 17105   Authorization No: 17105-16881

Expiration Date: 1/1/2030(current) Address: 2105 SE CREEKVIEW DR. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: 2833 Geospatial Information: 452902(X)/4617338(Y)

Affiliates   Name Address City State Zip Phone Type EMBRIA HEALTH SCIENCES, LLC 2105 SE CREEKVIEW DR. ANKENY IA 50021 (515)963-9100 Owner TONY BUCK 2105 SE CREEKVIEW DR. ANKENY IA 50021 (515)963-9100 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