Stormwater- Checklist

Facility Name: BIOLIFE PLASMA CENTER - NEW FACILITY

Permit Type: GP #2 Legal Status: Private     File No: 12388   Authorization No: 12388-12174

Expiration Date: 9/7/2007 (discontinued) Address: 1220 ASSOCIATES DRIVE - DUBUQUE , IA 52002

County: DUBUQUE Field Office: 1 SIC: Geospatial Information: 656979(X)/4706693(Y)

Checklist Checklist Completed. Automatic Update NOI Received Fee Correct Facility Info PPP Developed Location Info PPP Comply Outfall Info Public Notice Received   Contact Info Public Notice Complete   Permit Type Info Signature   Fee Paid File Memo   Fee Memo