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Per
Permit ID #:: 015-000-001945
CALIFORNIA WATER SERV. C ,~; ¡
, LOCATION: N END OF STANDARD ST' \Y[
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Issued by:
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Operöte
to
Hazardous Materials/Hazardous W aste Unified 'Permit
~ CONDITIONS ,OF ,PERIVI,IT ON REVERSE SIDE
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This oermlt is issued for the following:
. ~ Hazardous Materials Plan
o Underground Storage of Håzardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
, , .
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Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES'
1715 Chester Ave., 3rd f:looc
Bakersfield, CA,93301
Voice (661) 326-3979
FAX (661) 326-0576
. Approved by:
'I
Issue Date
: Expiration Date:
. i~: ,,-'. :'-<~¡"~:~1:~';::~'
. June 30, 2003
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+ '~ORNIA WATER SERV~ CBKF103
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SiteID: 015-021-001945 +
anager : WEL-~Y~
ocation: N END OF STANDARD ST
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 01
EPA Numb:
oc1 1 1.QØ
BusPhone:
Map : 102
Grid: 23B
(661) 396-2400
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:00-691-3578
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x
24-Hour Phone : () x 24-Hour Phone : () x
Pager Phone () x Pager Phone () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth I
+------------------------------------------------------------------------------+
Contact: MELVIN BYRD Phone: (661) 396-2400x
MailAddr: 3725 S H ST State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------------------------------------------------+
Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) 396-2400x
Address: 3725 S H ST , State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------------------------------------------------+
~eriOd : to TotalASTs: = Gal
Preparer: TotalUSTs: Gal
ertif'd: RSs: No
arcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
('
District Manager-Tim Treloar
Asst. District Manager-Bill Harper
Contact Person-Tamara Johnson
. Same Phone Numbers
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1~3
+==============================================================================+
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07/28/2003
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Manager : MEL BYRD
Location: N END OF STANDARD ST
City BAKERSFIELD
BusPhone:
Map : 102
Grid: 23B
SiteID: 015-021-001945
(661) 396~b1òr
CommHaz : Moderate
FacUnits: 1 AOV:
CALIFORNIA WATER SERV CO CBKF103
CommCode: BAKERSFIELD STATION 01
EPA Numb:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact / Title Emergency Contact / Title
MELVIN BYRD / DISTRICT MGR TIM TRELOAR / ASSIST DIST MGR
Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact : MELVIN BYRD Phone: (661) 396-2400x
MailAddr: 3725 S H ST State: CA
City : BAKERSFIELD Zip : 93304
Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) 396-2400x
Address : 3725 S H ST State: CA
City : BAKERSFIELD Zip : 93304
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
,
:
Hazmat Common Name...
One Unified List 1
All Materials at Site 1
f= Hazmat Inventory
f== As Designated Order
EPA Hazards
DailyMax
MCP
CHLORINE F P IH
I, -r: JY~o~~m~):"" Do hereby certify that I have
reviewed the attached hazardous ma1eriais manage-
ment plan for c...~ ~ and that it along with
(NaIrne 01 Busfl'less)
any corrections constitute a complete and corrsd manD
agemsnt plan for rAY facility.
L
200.00 GAL Ext
)~~J.
ß-H--oo
Date
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07/19/2000
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F CALIFORNIA WATER SERV CO CBKF103
p= Inventory Item 0001
COMMON NAME / CHEMICAL NAME
CHLORINE
SODIUM HYPOCHLORITE 12.5%
Location within this Facility Unit
FENCED ENCLOSURE NEXT TO PUMP
SiteID: 015-021-001945 ì
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Map: Grid:
CAS #
7882-50-5
STATE ---'-- TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
200.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
200.00 GAL
ZAR U
%Wt. RS CAS #
12.50 Sodium Hypochlorite No 7681529
HA DO S COMPONENTS
HAZ D l\..:> ES I~E TS ::J I USDOT#J
' TSecret RS BioHaz Radioactive/Amount NFPA MCP
No No No No/ Curies EPA Hazards / / / Ext
F P IH
AR cs S N
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07/19/2000
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F CALIFORNIA WATER SERV CO CBKF103
I
'p Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-001945 ì
Fast Format ì
Overall Site ì
04/30/1999
CALL 911 AND (800) 852-7550 OR (916) 427-4341.
~. EmPlo.ýee Notif./Evacuation
N/A - UNMANNED SITE.
04/30/1999 ]
04/30/1999
Public Notif./Evacuation
WE WOULD PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN
EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL
POPULATION AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE.
Emergency Medical Plan
04/30/19991
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL.
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07/19/2000
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F CALIFORNIA WATER SERV CO CBKF103
I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-001945 l
Fast Format l
Overall Site l
04/30/1999
STORED IN AN ABOVE GROUND SECURE AREA.
Release Containment
04/30/1999
THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED.
Clean Up
Other Resource Activation
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07/19/2000
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F CALIFORNIA WATER SERV CO CBKF103
I
f= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
SiteID: 015-021-001945 l
Fast Format l
Overall Site l
I
04/30/1999
A) GAS - N/A
B) ~LECTRICAL - SERVICE BOX LOCATED INSIDE FACILITY.
C) WATER - N/A
D) SPECIAL - N/A
E) LOCK BOX - NO
FireProtec./Avail. Water
04/30/1999
PRIVATE FIRE PROTECTION - ??????????
NEAREST FIRE HYDRANT - ON SITE WELL DISCHARGE.
Building Occupancy Level
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07/19/2000
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F CALIFORNIA WATER SERV CO CBKFI03
I
F Training
Employee Training
SiteID: 015-021-001945 ì
Fast Format =¡
Overall Site =¡
04/30/1999
WE HAVE NO EMPLOYEES AT THIS FACILITY IT IS AN UNMANNED SITE.
WE DO HAVE MSDS SHEETS ON FILE.
, BRIEF SUMMARY OF TRAINING PROGRAM: CALIFORNIA ¡'¡ATER SERVICE COMPANY
PROVIDES THE FOLLOWING TRAINING:
1. SAFETY PROCEDURES IN THE EVENT OF A HARDOUS MATERIALS RELEASE OR
THREATENED RELEASE.
2. HAZARD COMMUNICATION STANDARD.
3. EVACUATION PROCEDURES.
4. PROPER HANDLING OF HAZARDOUS MATERIALS.
5. HMMP IMPLEMENTATION.
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Held,for Future Use
Held for Future Use
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07/19/2000
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INSTRUCTIONS:
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
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C Æ I( Jíí1 Fl03
IkN fpl.
1. To avoid further action, return this form within 30 days of receipt.
. 2. TYPEIPRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: (} ITY ðf= ð~I¿.e\2""-.;) FI E:: L-t~ 'CE~ ~ T Á . F If) .2
LOCATioN: · tp/<l71 éívp " .trill/PARI) d!i:
c.../o' C'A L- \ FOR-~ c ~ \JJ".. ~ SE: ~~{ I c.e.. COM j:>OÞ.NY
C' "'lit
MAILING ADDRESS: ~t'2 S ~OUïH ,.., ~ï12.e:z::ï .
CITY: e,AI,¿EI2.-S F I ~L--Ö
STATECA. ZIP~3ö4PHONE:€sos)~·2Aoo
SIC CODE:49A ,
DUN & BRADSTREET NUMBER: 00 - (ò9 \ - 3S"7 B
PRIMARY ACTIVITY: R"~\..I~YOR 04=' Do,....",ecsïlc \,vÂTt:::R.
o f"T'""-( OC ~~2~F( e- L..D
OWNER: 0../0 C""'-'f'C?~NI'" WÞ~~"Ic£ Cù~;\p.þ.~'Y
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MAll..INGADDRESS: 37'2.'5 S'o~ -bt ~"""ï
SECTION 2: EMERGENCY NOTIFICATION
CONTACT
1. M£,-",~ '&I2D
2. Tì,...~ TrzELDAR ,
TITLE BUS. PHONE 24 HR. PHONE
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D'~cr\114~'I\6'IéQ. ~D~ ')ß%-24 00 5~E3:.
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING
NUMBER OF EMPLOYEES: 'N O~. - Ut.JMwtoN....:e:o S I'T1!:
MATERIAL SAFETY DATA SHEETS ON Fn.E: 'YE-S
BRIEF SUMMARY OF TRAINING PROGRAM: CA'-\~UA W A-""RiõQ~~VLc.e OC'J'ovlI'?A,þ..I'('
PR.dtV\ P.BS ït+E. Fou-Dw N 6 TRAI N' W£:r -:
CI::> ~Fe"l"l ~OC.l!H~yltD;. 1"'""T'f+-~ E..VENT -t:>F A ·'µA,,%.A."1:2OI.HJ~1'4,Â.TER.IA&-S
C2..'Euëþ..SE D~ ~~~"T'ENE.1:) ~I 1iJ"4$:-
<Ð ..l-\..A"ZbÞ i") Co,..,.. N1 u.....~"T' ~ '" Ç+¡..,..¡ OÞO,Q.f;>
~ EV~þ.'" ø.... ~oc..QU~E;."5
@) ~..:)~ U...... þU Nw OF l"¡AV-1:2DØI.l~ t'-1('-~.""5
® H MMI-=> IMP.....t'v1EN~r,o....
SECTION 4: EXEMPTION REOUEST
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM
THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH
& SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT
NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION
I'
I, ~1''' }...tEDr=t,CK. CERTIFY THAT THE ABOVE
INFORMATION IS ACCURATE. I UNDERSTAND THAT TIllS INFORMATION WILL BE
USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH
AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500
ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
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SIGNATURE
\=k.:>DUC'T\O..... Ç,. PeR ~ [::Et-.."
TITLE
Á -'o-~8
DATE
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES
A. AGENCY NOTIFICATION PROCEDURES:
CAL-L Sf' .ANO (SOD) 852-1550 OIZ (<=3(Cc» L127- -4YII
B. EMPLOYEE NOTIFICATION AND EVACUATION: WA. U....t-A...~I~DÇ'~TE.,
C. PUBLIC EVACUATION: \1l(I!. \AfOUL..\) P~'FeR ïO Rid.- Y 0..1 E.\vte.u(~Cy
~~\., I ce..Cã 'P.ERS.OWN~' TO D«=-. ï):RJ'v , N eo (~A N .EY.þ.C..(j A--n ON IS
Ne;. Ct:.."'$. Þ-'R'.(. W (;) '^' E::..'\J e'R. I \NE W I w.. !:SV AnC;W ¡,. TE T~E AR=€CTE.O
LðCAL PO"PULAIldÑ Ag NEOE..~ARY t t F i='t-I\EC:6E:.-...Jc',-' SEl2...\.JlceS·
PE.'RSo,.....'~\~L A'KE NOT AVA I'-Þ'Ö'-E:..
D. El\ŒRGENCY MEDICAL PLAN: 1'-At.DICA L- ASSI'"5T;b.NCE.. W OUI,...\J ß.E.
r.::::'R 0" I DE. 0 'ò.....( ~A.e:..RCy ~OSP IT,b.I..., TRU '>L TU~ A\.~ Lie.. I 8Ä~i='~U:>
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN
A. RELEASE PREVENTION STEPS: SOC>'UM µ'f"'POCHLC9rTE \:5 ~~{;D
'1'.1 Þ.1-1 A"ßCl.....,e. G-ROUND ~u~e. AR"¡¡¡;~,
B. RELEASE CONTAINMENT AND/OR MINIMIZATION: T4£ S'OD'UM HYPDC+-ILD1Z nE
\5 <Sa::~ ~:2' L..y C~'-.þ I NG:.1::>.
C. CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURALGASIPROPANE: N/A
ELECTRICAL: ~v, OE ð<:::N.. l-Ot;. .ïEO IN '51 Dt!- ~ÂC' 1-1 T'r"
WATER:
N/Á
t-----II þ.
SPECIAL:
LOCK BOX: YEs@) IF YES, LOCATION:
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SECTION 9: PRIV ATE FIRE PROTECTION/W ATER A V All..ABILITY
A. PRIVATE FIRE PROTECTION:
i'
B. WATER AVAILABILITY (FIRE HYDRANT): Ft~.wYDCtP.,,",ï -ON £/"1'1ë \.u..I.-L.
D\S:.t+p.~
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
HAZARDOUS MATERIALS INVENTORY
FACILITY DESCRIPTION
CHECK IF BUSINESS IS A FARM [ ]
BUSINESS NAME OlT"'"( OF' ~AM'~I2..S1=I 5'\-(")
FACILITY NAME C~ -ST~. ,&:'10:3
SITE ADDRESS 7(0~7N 6 f) () ¡: $7ANtJAR¡) ~f'
CITY 5,A.I.£el2-cs.'F(e=~ STATE C'A
ZIP 9~~ù\
NATURE OF BUSINESS Pu~ VE.Vc:li:2 OF DO,....,1f~"'STïc.. W ~TeR...
.~
4~4l
,DUN & BRADSTREET NUMBER oo-~9 ( - ~5êß
SIC CODE
. w/OPERATOR O~I-H=Or2NI,...\J~~VIC.£ ~w.tJ-æHONE( 80S) 3~'=-'2AOO
MAILING ADDRESS 372.5 Söv~ I.l bJ" ~¡-.
CITY ~\ool.e:,~"'"S. Fl Çë-......,
STATE CA.
ZIP C::::>ð~c>4
EMERGENCY CONTACTS
NAME . t'- Æ E= L... \.¡ ",( By'.:¿ f) ,
TITLE Q--S..,-n.IC::T "flA"-'A.Cr~
BUSINESSPHONECfu5)3~-2AoO 24HOURPHONE SA.....~e.
NAME l"it'/1 \12"E:L.OAQ..
TITLE ~'"TA"'rr D-$TQ.c-rl'1\ A"-I""GØIfZ-
BUSINESS PHONE (60.;;) "æb-'"2400
s,.,s.. y....1\£:.,
24 HOUR PHONE
1
wem>0US MATERIALS INVENTOe
. am/J.. ~ n ; Page..L of 1-
BÚ5iness N l-IFC"Rt.HÅJþ..·r~.;¿ lCE:LO. AddIess CI3~ 5í1f F/o ~ l/olPI I'll" ()F .r;¡ON£)A~J>.s)
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CHEMICAL DESCRIPTION
1) INVENTORY STA1US: New [)( Addition [ ] Revision [ ] Deletion [ ] Check: if chemical is a NON Trade Sam fX] Trade Secret [
2) çommon Name: 0+-1 Lo¡? I ... 1'£7; 3) DOT ## (optional)
Chemical Name: SOD 1 \J ~II \J 'YÞOCH L- OR -¡E:. ( 2 . 5;t?AHM [ ] CAS ## ~(<Oê 1'52-9
4) Physical &; Health PHYSIC~tz. ~::SI v ~"") HF.AL1H
Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure l] ediate Health (Acute)[
5) WASTE CLASSIFICATION
(3-digit code from DHS Form 8022)
USE CODE
] Delayed Health (Chronic) fX1
At
6) PHYSICAL STATE
Solid [
Liquid ~] Gas [ J
Pure l)<.J Mixture [ ] Waste [ ] Radi08áive [
7) AMOUNT AND TIME AT FACILITY
MaximIUD Dailv Amount '200
Average Dailv Åmount 200
Annual AmoÚnt '20 \::)
Largest Size Container 20 0
t# Days on Site '3C'ó5
UNITS OF MEASURE
Lbs [ 1 Gal D<] ft3 [ J
Curies [ ]
8) STORAGE CODES
a) Container: 02 - R","STìC-
b) Pressure:
c) Temperature
Circle \Vñich Months:
All Year, J, F, M. A, M. J, J, A, S. 0, N. D
9)~: LiM
the three most haÍardous I )
chemical components or 2)
any AHM components 3)
COMPONENT
CAS"
%wr
AHM
[ ]
[ ]
[ ]
IO)LOCATION 1-
r- e e...1 C e...:) £ t-..I C ~~~_UI2.e. )4é.~T '"T'\.:::) Pû ,..'" ,-=>
Chemical Name:
3) DOT #I (optional)
AHM[ J CAS#
I) INVENTORY STATIJS: ~ew [ J Addition [ ] Revision f ] :)~leùon [ 1 Check if chemical is a NON Trade Secret [
~) Common Name:
6) PHYSICAL STATE
Solid [
] Delayed Health (Chronic) [
~) Physical & Health PHYSICAL
Hazard Categories Fire ( I Reactive ( ] Sudden Release 01 Pressure (
5) WASTE CLASSIFICATION
;) AMOUNT ..\.\'1) TIME Ai F..\Cll.ITY
Ma.\Ut11UD Daily Amount
A\·er3g~ Daily Amount
Annual Amount
largest Size Contalner
1# Days on Sile
l "}''TIS . Œ.ASURE
Lb·· : Gal ( J 1\3 (
(uries [ J
USE CODE
MixtUre [ ] Waste [ ] Radioactive [
8) STORAGE CODES
a) Container:
b) Pressure:
c) Temperature
Liquid [
Gas ( J
,.
Circle \\ 1ùch Months:
All Year, J. F, M. A, M, J, J, A, S, 0. N, D
.'
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9) MIX1URE: List
the three most hazardo
chenucal compo~ or
anY7Øónents
I~TION
I certify under penalty of law. that I have personally examined an~ am tàmiliar with the inlònnation on this and all attacbed documcDts. I
believe the submitted information is true, accurate and complete. ~ .
k',,,~ µED~'C\(' -~OÞuCTto",Ç'C-'~~It..tts.._u::aNt' ~~ -.Q~ ~...\o·95
PRINT Name it Title of Authorized Company Reprcsentauve Signature Date
COMPONENT
CASt#
%wr
AHM
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