HomeMy WebLinkAboutBUS-OWNER/OPERATOR ID 7/21/2005VERIZON WIRELESS
_ _ __ _ - _ __ _ _ 8201 MING AVENUE
- UNIVERSITY
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BUSINESS OWNER/OPERATOR IDENTIFICATION
Unified Program Consolidated Form (UPCF)
FACILITY INFORMATION
~ NEW BUSINESS ^ OUT OF BUSINESS ^ REVISE/UPDATE (EFFECTIVE / / ) Page _2_ of I4
I. IDENTIFICATION
FACILITY ID# t BEGINNING DATE too ENDING DATE tot
07!21/05 07/21/06
BUSINESS NAME (Same as FnCn.[rv Np.ME or o&A -Doing Business As) 3 BUSINESS PHONE ~~ t
VERIZON WIRELESS (University Center) UNSTAFFED ~
BUSINESS SITE ADDRESS tos
8201 Ming Ave
CITY
CA ZIP CODE tos
Bakersfield 93311
DUN & BRADSTREET 106 SIC CODE (4 digit #) 107
88-463-8305 4812
COUNTY 108
Kern
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE t t°
Skip Severance 559-268-7878
II. BUSINESS OWNER
OWNER NAME I t l OWNER PHONE 112
VERIZON WIRELESS 916-357-1000
OWNER MAILING ADDRESS t is
255 PARKSHORE DRIVE BUILDING B
CITY 114 STATE 115 ZIP CODE tt6
FOLSOM CALIF. 95630
III. ENVIRONMENTAL CONTACT
CONTACT NAME t t7 CONTACT PHONE t is
SHAWN STACEY (Invoices & Billing) 916-357-2520
CONTACT MAILING ADDRESS t t9
255 PARKSHORE DRIVE
CITY 120 STATE t2t ZIP CODE tzz
FOLSOM CA 95630
-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY-
NAME Izs NAME tzs
Skip Severance NOCC
TITLE tza TITLE tze
OPERATIONS MANAGER NATIONAL OPERATIONS CONTROL CENTER
BUSINESS PHONE 125 BUSINESS PHONE Iso
559-268-7878 1-800-264-6620
24-HOUR PHONE 126 24-HOUR PHONE tat
559-246-7002 1-800-264-6620
CELL # 127 PAGER # t32
ADDITIONAL LOCALLY COLLECTED INFORMATION: t3s
APN 383-300-03 GPS: 35-20-19.9N 119-OS-46W Property Owner PG&E
Certificate n: Based on my inquiry those individuals responsible for obtaining the information, I certify under penalty of law that [have personally examined and
am famili with the information sub fitted and believe the information is true, accurate, and omple
SIGNA F WNER/OP ~ ESIGNATED REPRESENTATIVE DAT
~ t34 NAME OF DOCUMENT PREPARER t35
I ~jl David Cotner 916-201-2080
NAME F S GN (print) 136 TITL OF SI NER 137
SHAWN STACEY ENVIRONMENTAL SUPERVISOR
~ ~ HAZARDOUS MA~IALS UNIFIED PROGRAM . 1~D~ #
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Vicinity Map
Not to Scale
Business Name: Verizon Wireless (University Center ) Date: 05/09/05
Address: 8201 Ming Ave., Bakersfield, Ca.
Number of Employees in Facility Depicted Above - Unstaffed Page 1 of 3
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Draw to approximate scale or proportion
Scale: finch = 6 feet (approx.)
Business Name: Verizon Wireless (University Center) Date: 3-17-05
Address: 8201 Ming Ave., Bakersfield, Ca.
Number of Employees in Facility Depicted Above - Unstaffed Page 2 of 3
- ~~ HAZARDOUS MA~IALS UNIFIED PROGRAM • I.D. #
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A ~ B ~ C ~ D ~ E I F ~ G ~ H I I ~ J ~ K ~ L I M ~ N
Draw to approximate scale or proportion
Scale: finch = 6 feet (approx.)
Facility Storage Map
Business Name: Verizon Wireless (University Center) Date: 4-21-05
Address: 8201 Ming Ave., Bakersfield, Ca.
Number of Employees in Facility Depicted Above - Unstaffed Page 3 of 3