HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_20-24D. OWNER OF THE LAND
Name Coles Environmental Services, Inc.
Address 1620 East Brundage Lane
City/State/Zip Code Bakersfield, California 93307
Contact Person Ben McNiell
Telephone Number 661-322-8258
Owner Type (Mark one):
❑Individual ZCorporation
❑ Other:
Email ben@colesenvironmental.com
❑Governmental Agency ❑
E. ADDRESS WHERE LEGAL NOTICE MAYBE SERVED
Address 1620 East Brundage Lane
City/State/Zip Code Bakersfield, California 93307
Contact Person Ben McNiell
Telephone Number 661-322-8258
F. BILLING ADDRESS
Address 1620 East Brundage Lane
Email ben@colesenvironmental.com
City/State/Zip Code Bakersfield, California 93307
Contact Person
Telephone Number 661-322-8258
11. TYPE OF DISCHARGE
Email ben@colesenvironmental.com
Check Type of Discharge(s) Described in this Application:
ZWaste Discharge to Land M waste Discharge to Surface Water
Check all that apply:
❑ or Aquacultural Wastewater
❑ Waste Solids
❑
❑ water
F]Domestic/ Municipal Wastewater
Treatment and Disposal
❑ Material Disposal
❑Hazardous Waste (see instructions)
Z Industrial Process Wastewater
❑Land Treatment Unit
❑Landfill (see instructions)
❑
❑Storm Water
OSurface Impoundment
❑ Pile
Wastewater Reclamation
❑ please describe —
Form 200 (10/97) 2