Stormwater- Affiliates

Facility Name: KUM & GO (STORE #92)

Permit Type: GP #2 Legal Status: Private     File No: 11536   Authorization No: 11536-11315

Expiration Date: 10/1/2010 (discontinued) Address: 1025 E. 1ST ST. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451648(X)/4620122(Y)

Affiliates   Name Address City State Zip Phone Type KUM & GO, LC 6400 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)457-6353 Owner RYAN HALDER 6400 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)457-6232 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