Stormwater- Checklist

Facility Name: OSI INDUSTRIES, LLC d/b/a OAKLAND FOODS

Permit Type: GP #1 Legal Status: Private     File No: 16791   Authorization No: 16791-16564

Expiration Date: 2/20/2029(current) Address: 21876 N. HWY 59 - OAKLAND , IA 51560

County: POTTAWATTAMIE Field Office: 4 SIC: 2013 Geospatial Information: 300228(X)/4578157(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