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HomeMy WebLinkAboutBUSINESS PLAN Oi, iCE OF ENVIRONMENTAL ~. VICES I 15 Chester Ave., CA 93301 (661) 326-3979~ '~-*""~~'"'"' BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION " 3 BUSINESS PHONE BUSINESS ~E (~ Cl~ DUN & B~S~E~ (4 Digit COU~ O~ER ~ILING · 24-HOUR pHONE 1~ 24-HOUR PHONE 132 PAGER # 12e PAGER # ~33 C,dtflmtlon: Ba~d on my Inquiry o~ tho~ Indlvldu~l~ n~on~lbl~ ~or obt~lnlng th~ Information, I ~rtlf~ under ~nalt~ o[ law ~hat I and am ~amlll~r wffh th~ Information submlt~d In thi~ In~ntor~ and I~ll~vo tho Information I~ ffu~, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 I NAME OF DOCUMENT PREPARER NAMES OF OWNER/OPERATOR (print) 13e TITLE OF OWNER/OPERATOR ~ UPCF (7199) ~d