Stormwater- Affiliates

Facility Name: SAFETY-KLEEN SYSTEMS, INC.

Permit Type: GP #1 Legal Status: Private     File No: 5309   Authorization No: 5309-5137

Expiration Date: 5/6/2031(current) Address: 4704 NE 22ND ST. - DES MOINES , IA 50313

County: POLK Field Office: 5 SIC: 7359 Geospatial Information: 451535(X)/4610597(Y)

Affiliates   Name Address City State Zip Phone Type SAFETY-KLEEN SYSTEMS, INC. 42 LONGWATER DR NORWELL MA 02061 (781)792-5000 Operator SAFETY-KLEEN SYSTEMS, INC. 42 LONGWATER DR NORWELL MA 02061 (781)792-5000 Owner KELLY TAYLOR     IA     Certifier MICHELLE CHILLSON 4704 NE 22ND ST. DES MOINES IA 50313 (224)339-4158 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