Stormwater - Affiliates

Facility Name: SINCLAIR FORT MADISON TERMINAL

Permit Type: GP #1 - Industrial Activity Legal Status: Private File No: 423 Authorization No: 423-299

Expiration Date: 10/1/2005(discontinued) Address: 2010 35TH STREET - FORT MADISON , IA 52627

County: LEE Field Office: 6 SIC: 5171 Geospatial Information: 638921(X)/4497927(Y)

Affiliates

Individual?

Type:*

Name:

Title:

Company Name:

C/O:

Address:

Address 2:

City/State/Zip

E-mail:

Contact Owner

Preferred Method of contact

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