Stormwater- Affiliates

Facility Name: PENN STREET QUALITY CARE

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 17529   Authorization No: 17529-17295

Expiration Date: 7/20/2010 (discontinued) Address: 1020 PENN ST. - NORTH LIBERTY , IA 52317

County: JOHNSON Field Office: 6 SIC: Geospatial Information: 615342(X)/4623595(Y)

Affiliates   Name Address City State Zip Phone Type TROY COLEMAN 212 FIRST ST. CORALVILLE IA 52241 (319)354-3108 Contact QUALITY CARE STORAGE 761 CAMP CARDINAL RD. CORALVILLE IA 52241 (319)338-6155 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