HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_49-126C A L I F 0 R N I A
W . ater Boards
State of California
Regional Water Quality Control Board
i
GAVIN NEWSOM
GOVERF40R
.JARED BLUMENFELD
SECRETARY FOR
ENVIRONMENTAL PROTECTION
APPLICATION /REPORT OF WASTE DISCHARGE
GENERAL INFORMATION FORM FOR
WASTE DISCHARGE REQUIREMENTS OR NPDES PERMIT
I. FACILITY INFORMATION
A. FACILITY:
Name Coles Environmental Services, Inc.
Address 1620 East Brundage Lane
City/County/State/Zip Code Bakersfield, California 93307
Contact Person Ben MCNiell
Telephone Number 661 - 322 -8258
B. FACILITY OWNER:
Name Coles Environmental Services, Inc.
Address 1620 East Brundage Lane
Email ben @colesenvironmental.com
City /State /Zip Code Bakersfield, California 93307
Contact Person Ben McNiell
Telephone Number 661- 322 -8258
Federal Tax ID
Owner Type (Mark one):
[:]Individual ZCorporation
FlOther:
Email ben @colesenvironmental.com
E]Governmental Agency F]Partnership
C. FACILITY OPERATOR (The agency or business, not the person):
Name Coles Environmental Services, Inc.
Address 1620 East Brundage Lane
City/State/Zip Code Bakersfield, California 93307
Contact Person Bryan Hill
Telephone Number 661 - 978 -0680
Operator Type (Mark one):
F-1 I ndividual ZCorporation
[-]Other-.
Email Bryan @colesenvironmental.com
OGovernmental Agency DPartnership
Form 200 (10/97) 1