Stormwater- Affiliates

Facility Name: ACH FOAM TECHNOLOGIES - BUILDING ADDITION

Permit Type: GP #2 Legal Status: Private     File No: 20388   Authorization No: 20388-20154

Expiration Date: 7/5/2012 (discontinued) Address: 809 E. 15TH ST. - WASHINGTON , IA 52353

County: WASHINGTON Field Office: 6 SIC: Geospatial Information: 610219(X)/4574311(Y)

Affiliates   Name Address City State Zip Phone Type JUSTIN HOLLAND 1320 N. 8TH AVE. WASHINGTON IA 52353 (319)653-3334 Contact ACH FOAM TECHNOLOGIES 809 E. 15TH ST. WASHINGTON IA 52353 (319)653-6216 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