Stormwater- Affiliates

Facility Name: GELITA USA, INC.

Permit Type: GP #1 Legal Status: Private     File No: 19598   Authorization No: 19598-19371

Expiration Date: 1/12/2029(current) Address: 2445 PORT NEAL INDUSTRIAL RD. - SERGEANT BLUFF , IA 51054

County: WOODBURY Field Office: 3 SIC: 2099 Geospatial Information: 223674(X)/4694241(Y)

Affiliates   Name Address City State Zip Phone Type GELITA NORTH AMERICA, INC. 2445 PORT NEAL INDUSTRIAL RD. SERGEANT BLUFF IA 51054 (712)943-5516 Owner ROB MAYBERRY     IA     Certifier SANDY WISECUP 2445 PORT NEAL INDUSTRIAL RD. SERGEANT BLUFF IA 51054 (712)943-5516 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