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+ CAPI'T'AL DENTAL GROUP ________________________________ SiteID: 015-021-002280 +
Manager :T'~~I C'c~"~~ BusPhone: (661) -324-2513
Location: 2021 19TH ST Map 102 CommHaz Moderate
City BAKERSFIELD Grid: 25B FacUnits: 1 AOV:
CommCode: BFD STA O1 SIC Code:8021
EPA Numb: DunnBrad:
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Business Phone:
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24 -Hour Phone (jQ(~) ~ ( - app x 24 -Hour Phone ( (Q~()gjp ( -~ppgx
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact ~~.~~ ~~ Phone: (661) 324-2513x
MailAddr: 021 19TH ST State: CA
City BAKERSFIELD Zip. 93301
Owner ~I~~r~ CG~h Phone: (661) 324-2513x
Address 2021 19TH ST State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: - Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG H - HAZ WASTE GEN
C~aaet3 on my inquiry of th~s€ iiibiVid~~l~
r~~~Arl~ibl~ f~i` d~t~ifi{Pt~ this iNf~ft~i~fiRf1, 1 @~rti#y
under genelty pf law that I h~v~ ~~r~enally
ex~rilin~d an+~ ~tm f~rvtllia~ with thn infa~r~ation
subrnltted wnd b~llev~ t e infprmetion is true,
accurate, and collet . a
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Si a Date
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05/12/2006
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