HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_50-126D. 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 Corporation
❑Other:
Email ben@colesenvironmental.com
❑Governmental Agency ❑Partnership
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:
WiWaste Discharge to Land M waste Discharge to Surface Water
Check all that apply:
❑ or Aquacultural Wastewater
❑ Waste Solids
❑Biosolids /Residual
❑Cooling Water
Domestic/ Municipal Wastewater
Treatment and Disposal
❑ material Disposal
❑Hazardous waste (see instructions)
Industrial Process Wastewater
❑Land Treatment Unit
❑Landfill (see instructions)
❑
❑ Water
WjSurFace Impoundment
❑ Pile
F-]Wastewater Reclamation
❑Other, please describe -
Form 200 (10/97) 2