HomeMy WebLinkAboutBUSINESS PLAN (2)
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Account Number
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ACCOUNTS RECEIVABLE ADJUSTMENT
1-13-92
Date
. Valerie Pendergrass
From:
, Fire Department - Haz Mat Division
Department/Division
New Account Î
New Address
Close Account
Service Change
Other Adj. vi
---.
Camenisch Engineering & Construction
. Billing Name
4110 Wible Rd.. Suite L
. Billing Address
, Same'
Site Address
Parcel # (If Applicable)
Landlord Name & Address jf Applicable
ADJUSTMENT
Last
! Billed' .
<$ IS· <13
! Correct
¡Billing
- 0 -
IAdjustment
¡To Billing
I' [$15.93]
i Effective Date
!Of Change .'
I 1-2-92
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APprove?t!fi¡
Remarks:
Adiust off finance charges, business is no-longer in business
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Bakersfield Fire Dlt..
Hazardous Materials Division
2130 "G" Street
" Bakersfield, CA. 93301
RECtlVED
FEe 2 t 1991
Ans'd..
..........
HAZARDOUS M,ATERIALS MANÄGEMENT'ÞIAN-'
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INSTRUCTIONS:
1'. To avoid further action. return this form within 30 days of receipt.
2. 'TYPE/PRINT ANSWERS IN ENGLISH. . ·
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible. "
SECTION 1: BUSINESS IDENTIFICATION DATA
,
BUSINESS NAME: CAM ~I\JI S CH EN6IN~~R/N·G ; CtJtJsr.
LOCATION: 4//0 Ú),b/-e. Rd 3Ld~ \\ L II
MAILING ADDRESS:
SAMr
CITY: ßFtKE'í2SF/€L-D STATE: cA ZIP: q33/3 PHONE: 83590 4fl
-X;¡1¿ TGt'f I.D.::::'- //
DUN 8( BRADSTREET NUMBER: /C,-JS~- 9979 SIC CODE: 31Z,,¡,
GtE7Vt7eA-L É' /l .
PRIMARY ACTIVITY: EN G/N~Æ!. / (.OIUS 7/e(A.C'7/0A.J
OWNER: J;"n CArneal 5' clf
MAILING ADDRESS: ABo () e:.. '
SECTION 2: EMERGENCY NOTIFICATION:
/
CONTACT
1. 3M CAVY1€nls'c.H
2.' 0IÐV£ Dowt;l/
TITLE
BUS. PHONE.
24 HR. PHONE
ðwAJ~..e. 135C:¡(YI~ '3C,7 / 'i'~9
~q IÍ iv (bIJTRoL 835 ?o"l~ 397 83 8 ~
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Bakersfield Fire Dept. e
Hazardous Materials Division
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.·HAZARDOUS MATERIALS MANAGeMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS: 3
--..~. - ----. -.-
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__~___ _______ n_..__
MATERIAL SAFETY DATA SHEETS ON FILE: L'¿S
BRIEF SUMMARY OF TRAINING PROGRAM:
.
1m r'\.e..d \~k e'1-~\~(l,J-1 ~ f' rm ð I /VS T!ZCA..C- T to,..)
MP¡7~(2'AL 0.,.;) pfl-.em rSê$ CA.~OIÙ, HI k-(f .
º F _ ?frF£"IY_, ..PI!:.{) C€ /)ul?~~
OF '¡"¡f)? 4ft:> ()u.s
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Mo~ TriLï RE)Jl:Ñ
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SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF .CHAP:r~R 6.95 OF THE "CALlFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
><
.
WE DO HANDLE HAZARDOUS MATERIALS, 'BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
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---- -.-
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OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE., ,I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLlGATIONŠ UNDER THE "CALlFORNIÃ HEALTH AND SAFETY CODE"
'ON HAZARDOUS MA TERIALS,,(DIV. ,20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES ÞERJURY. C
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TITLE
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Bakersfield Fire Dept '
Hazardous Materials DiviA
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HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 7: MITIGATION, PREVENTION AND ABATEMHH PLAN:
.--- --.. - "-- ---.
A. u--RELEASFPREVENTlONSTEPS:' ',-".".
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\) 0 L.f\-rfl..(!J GA-s is ST()K.El::> ,f~/) ;L!1!N/:) ¿,z-ö' WITH /~ . FitqJ
'D6Þr: GUIOiFL/¡()e-5> /t-Nð ~P6--CIFIC,IIJ7/(),.;J. IlOL.ATIl.fr blGt.oD
is .s T()KE:;:-P' '//0 AN \ C>4-rs; Dt:=" ß}CKé.£) a8lÑ~r
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B. RELEASE CONTAtNMENT,AND/OR MINIMIZAnON: "",' ,
U5~ (J F ,UOLfl-ï Il:. r.;, ~1t-5 1./0" bE,S'1 e~ /fT 6"'ð,- ~,ee-¡t OAJ¿ '~.
,NOT..... STù~(f":P IN O()o~S, J ' ,VÆ-l-Vtr5 ~,"IF..o :Wf'oI9"/lJ ¡<JoT I;':;
U~6.. (}0t;+:'{l-e: ¿lS¡tA Jt::> c.. P/f¡'¡.JT A-¡.J/j _ (1"/'~'~~--rL) usrð
(!)t.\.T Dé)O.R..~ --'L.V '," - , ,
~,... I' )oJ 0 I .5.... ¡¿ I
Æ-^' OC-lT'DooR.. ~04ð)AJEï'. IÐ f:"b IN1:>OOk!-S j L..OG,ce.!).IN
C. CLEAN-UP, PROC.EDURES:
SPI LL¡z-o vOl.ArlL.G'
WA-ïê-Ì'~ I c..cive-~D
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l/Ya AltE"!) 1A-~éLyJ ,ÞI.$ p~.e.~e-j)
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SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE:
NOeTH Sf/){F ~
I!3LD6. OiJ. T' 3, DB" WA-LL-
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ELECTRICAL: ÑOR.-TH StÖ1r OF
.
aLP&.. ,., u"'f' S"ID~ CV4-u
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WATER: 1ùOR-TN .sf Dg- OF BL[){;.
. .
($} ¡z () (.J..,y .0 I AJ F ~o rAJ or o,t:' 0 F~ ~i:--
SPECIAL: Fi R·G:. SPR.IIÙ /::..L¡..7ê
Sc,1~-7/;:7Y\
hf57 1'iJ ðr 8tDt!;.
()(¡7SI.D'¡;" ,'-*"
ÅJ.4kL
LOCK BOX: YE~ IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER' AVAILABILITY:
~
A. PRIVATE FIRE PROTECTION:
-ni e{?ç "FIÆG €'f;. rl/VI¡, u i SNt-7êS ' ;oN PR~/I11 S £'S
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B.
WATER AVAILABILITY (FIRE HYDRAN1\
/J&-ft-rt-t:?S, FtiG IIc(l>£It-AJr _ Ú)c/frëLJ dAJ -rrI(F' So,,_Wf!S 'í,
¿J;;/él¡O#/L. o~ 8L.D6-.. ~\ E II PI~e-cT'¿ÿ A-GI<oSS F~ e. GC-
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Bakersfield Fire Dept. e
Hazardous Materials Division
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility U nit Name:
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, SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AG'EN'CY NOTIFICATION PROCEDU.RES: . , , .'
'PJ..loþo)~ It-(<::f:'-~S'~¿'G'" ,f=ò¡è:. "9/1': THl2$ã 1<~-1 ',P&;ïè5C)N~
WITH K.t:'l5 To PP-(;1Y11!./:.s AÑO I/-cc-es.s -rò 4LI'/-Æ/I?
t:.L)Dtr HIJ-v€" fi?e-s ID~,,-!é!.b-- \1 SPfF¢() ÞI/Tt.... II C(jD~D IrJíð
- pf-l(rAl$"".~, CÆ/.'é 'S'C.t~pt-Ië-S 4-lJoClT', Â~ y - 'Ft9-'it1;-,'f ' SHUT
"oFF ~'V',4L--t!Ë':5' "eN' I¥K:''-S. rrfo/IJl-roÆ- G/Ju66>-.$ /f-,v.L)
. ~ '" 6" '
,12.{,'::-Pl'}-f;e, oÆ. '~l;pVke ~ Nl:-":e:i)t:().
B. EMPLÒYEE.NÒTlFICATION AND EVAcuATION:
ItPP,fèòfr¿{~r~ €K I ì SIGAJ"!> Aæ~. pò57£D. S/"JoP Supl!T12tJ/$cnii!..
t)'~ .sriÂJIDl- f:;""p'-tJy/ff" (..AJ'.L:L TA-¡cg- CHI9-/è-fi€' OF
e 11 A-c tAA-ïfD.0 01= l:M P Lt:> lj ~ 4-0 b A-u:..-o CAIV, Fp Z-
gP,-c!f
C.' PU6L1C EVACUATION:
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PeRSo;:)
JJVI PvI e- ð I A 7" e' N f::-, Go H 8012"::1 WI' L(. Be- tJ A-/.? ..v c-L>
7Ø'1' etY)f'i..o '1e-6' S ON' O~ ¡::;efid)'S~'
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D. EMERGENCY MEDICAL PLAN:
ft)kt)¡..)e.. ÑlMM- ~ o.ç NG-1-~(;:~T
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mé{)/c4<. F4U (.-IT/f:;-S
A--~ Pø~'T~.. e~o¡JË" 'tS 4-C.C-eSS/f3t..G". N~"ê.~T ¡ft1?8~urNt:,~
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I~ 5pt:'"éD .D~Lh c;.oPe-t> ç..v Plfô;vC, -hA-$T ¡:¡'/D }(''';':.S
It (l ~ ee-ft- f) , t.. y /}c c.. €ss.,,' 8 LL-:-
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Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
RECEIVED
SEP 0 4 1990
HAZ. MAT. OlV.
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HAZARDOUS MATERIALS MANAGEMENT PLAN
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INSTRUCTIONS:
l.
2.
3.
4.
To avoid further action, return this form within 30 days of receipt.
TYPE/PRINT ANSWERS IN ENGLISH.
Answer the questions below for the business as a whole.
Be brief and concise as possible.
I,d- '3>- \ ~C-
SECTION 1: BUSINESS IDENTIFICATION DATA .~. - ~ ß
BUSINESS NAME: CAMENISCH ENGINEERING & CONSTRUCTII
LOCATION: 4110 WIBLE ROAD, BUILDING oLD
MAILING ADDRESS: SAME
CITY: BAKERSFIELD,
STATE: -ºL- ZIP:93313 PHONE: 835-9048
DUN & BRADSTREET NUMBER: 16-152-9979
SIC CODE: 3724
PRIMARY ACTIVITY:
STEEL FABRICATION & CONSTRUCTION
OWNER:
JIM CAMENISCH
MAILING ADDRESS:
SAME
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
l. JIM CAMENISCH OWNER 835-9048 397-1849
2. GENE DOWELL SHOP SUPv. 835-9048 397-8384
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FD1590
e Bakersfield Fire Dept. e
Hazardous Materials Division
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS: 03
MATERIAL SAFETY DATA SHEETS ON FILE:
NONE
BRIEF SUMMARY OF TRAINING PROGRAM:
1. IMMEDIATE EXPLANATION AND INSTRUCTION OF HAZARDOUS MATERIALS ON
PREMISES UPON HIRE.
2. MONTHLY REVIEW OF SAFETY PROCEDURES.
SECTION '4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE IICALlFORNIA HEALTH &
SAFETY COOP FOR THE FOLLOWING REASONS:
- -
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
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OTHER (SPECIFY REASON)
," ' SECTION 5: CERTIFICATION:
'I; TED LEVY CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFill MY FIRM'S' OBLlGA TIONS-UNÓER THE IICALlFORNIA HEALTH AND SAFETY CODEII
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
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SIGNA~
ACCOUNTS CLERK
TITLE
AUG. 46" 1990
DATE
2.
FD1590
....
.
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Hazardous Materials Division e
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
CAMENISCH ENGINEERING & CONSTRUCTION
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A, AGENCY NOTIFICATION PROCEDURES: '
PHONE ACCESSIBLE FOR "911"
THREE KEY PERSONNEL WITH KEYS TO PREMISIS AND ACCESS TO ALARM
CODE HAVE RESIDENCE "SPEED DIAL" CODED INTO PHONE.
CALL SUPPLIER ABOUT ANY FAULTY SHUT OFF VALVES ON TANKS.
- ,
MONITOR GAUGES AND REPLACE OR REPAIR AS NEEDED.
B.
EMPLOYEE NOTIFICATION AND EVACUATION:
APPROPRIATE EXIT SIGNS ARE POSTED. SHOP SPV. OR SENIOR EMPLOYEE
WILL TAKE CHARGE OF EVACUATION OF EMPLOYEES AND ACCOUNT FOR EACH
C.
PUBLIC EVACUATION:
IMMEDIATE NEIGHBORS WILL BE WARNED IN PERSON BY EMPLOYEES ON
OUR PREMISES.
"
D.
EMERGENCY MEDICAL PLAN:
PHONE NUMBERS OF NEAREST MEDICAL FACILITIES ARE POSTED. PHONÈ
IS ACCESSIBLE. NEAREST AMULANCE IS "SPEED DIAL" CODED ON PHONE.
,1'
FIRST AID KITS ARE READILY ACCESSIBLE.
3.
F018jl()
__ Bakersfield Fire Dept. e
Hazardous Materials Division
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
VOLATILE GAS IS STORED AND HANDLED WITHIN FIRE DEPARTMENT
GUIDELINES AND SPECIFICATIONS. VOLATILE LIQUIED IS STORED IN
AN OUTSIDE LOCKED CABINET.
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
USE OF VOLATILE GAS IN DESIGNATED AREAS ONLY; NOT STORED INDOORS:
VALVES CLOSED WHEN NOT IN USE.
VOLATILE LIQUID (PAINT AND THINNER) USED OUTDOORS ONLY. NOT
STORED INDOORS; LOCKED IN AN OUTDOOR CABINET.
·C. CLEAN-UP PROCEDURES:
SPILLED VOLATILE LIQUID IMMEDIATLY DISPERSED WITH WATER, COVERED
WITH DIRT. -
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL-GAS/PROPANE: ~ORTH SIDE OF BUILDING, OUTSIDE WALL
ELECTRICAL: NORTH SIDE OF BUILDING, OUTSIDE WALL
VVATER: NORTH SIDE OF BUILDING, GROUND IN FRONT OF OFFICE
SPECIAL: N/A
LOCK BOX: YES/NO
IF YES, LOCATION: NO LOCK BOX
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: THREE FIRE EXTINGUISHERS ON PREMISIES
B. VVATER AVAILABILITY (FIRE HYDRANT): SOUTHWEST CORNER OF BLDG. "E"
DIRECTLY ACROSS FROM CAMENISCH ENGINEERING, FACING NORTH.
4.
FD 1590
CITY of BAKEKSFIELD
nHAZARDOUS MATERIALS INVENTORY ~.
Farm and Agtlculture [] Standard BusIness Page ~__ of 01 .~
NON-TRADE SECRETS BUSINESS NAME: CAMENISCH ENGINEERING & CONSTR. ~WNER NAME: JIM CAMENISCH NAME OF THIS FACILITY:CAMENISCH ENGINERRliG &...c1lli..STR.
L~C~TION: 4110 WTRI E Rn RI nr, I DDRESS·~12 SIEI1I:1EN DR STANDARD IND. CLASS CODF:3724
C T ZIP' i S N AND BRA T EET NUMBER ,.---------------.-'
PHONÈ II: ¿3g~~oiáFIElD, CA_,93313 ~R6~È t 97_~VRSFIElD, CA 93304 DU ~S6.. R - L 5-2 -9-9.z 9-
TO-lfiS/RUCTIONS-po~ROPER CODES --
1 12 13 U
Tr~ns loc~tion Whe~e , by Na~es of ~ixture{çc~ponents
Co e Store In FaCI 1ty Wt See Instruc Ions
- -
N SW, outside bld .
- -
Name & C.A.S. Number 100 Argon.
- -
o Fire Hazard [] Reactivity [] Dela{ed g suddf" Re 1 ease Component 12 Name & C.A.S. Number 100 Oxygen
[] Immediate
-- Hea th o Pressure Health -
Component 13 Name & C.A.S. Number
- 1tJ"V6Ve fl -
N P SE, outside bld .
-
Phl~jc~l ,~d ~ealth Halard Name & C.A.S. Number
I ec a t at apply 100 :es
>0 Fire Hazard [] Reactivity [] Dela{ed [] Suddf" Re 1 ease Component 12 Name & C.A.S. Number
[] Immediate
Hea th o Pressure Health
Component 13 Name & C.A.S. Number
Phlsical ,nd ~ealth Halard C,A.S. Number Component II Name & C,A.S, Number
( heck a 1 t at apply
[] Reactivity [] Dela{ed [] SUddf" Re I ease Component 12 Name & C.A.S. Number
[] Fire Hazard [] Immediate
Hea th o Pressure Health
Component 13 Name & C.A.S. Number
Phlsic~l ,nd Health Halard C.A.S. Number Component II Name & C,A.S. Number
( hec a 1 that apply
o Reactivity [] Dela{ed [] SUddf" Re 1 ease Component 12 Name & C.A.S. Number
[] Fire HHard [] Immediate
Hea th o Pressure Hea Ith
Component 13 Name & C.A.S. Number
EMERGENCY CONTACTS # 1 Ri~~ CAMEN I SCH O~NfR Wi~9 #2 GENE DOWELL - 2Tlff'1'ñ~
T t e r one Rame
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Í)-r-tifiptio~ çReCFa and ~ifn afJer c9mf1~ting. ~11, sect:. ions) . , .
cer~1 un er enal y. 0 a th t I av pe(sona 1 exam¡n ~ m faml1la( It the InformatIon $U m1tte~ In hIS ~nd all
attaçhedrdoc~men[sl anij t at ~ase~ on my In~ulry ~ lhose Inålvl~ua's responslb1e ~or obtaInIng the In~ormatI0n. j belIeve that
submltte'~,ln orllatlon IS true, accurate, an camp ete,
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TED LIiVY,' 'ACCOUNTS CLERK Aug. 30, 1990
me a r õo f'!lTITTì operator's authorIzed represen ve uun fqr.êã