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+ VERIZON WIRELESS - GREENFIELD _________ _____________= SiteID: 015-021-003374 +
Manager ALAN HOLZMAN BusPhone: (661) 873-2401
Location: 9810 S UNION AVE Map 143 CommHaz High
City BAKERSFIELD Grid: 06B FacUnits: 1 AOV:
CommCode: KCFD STA 52 SIC Code:4812
EPA Numb : DunnBrad : - 8g - ~(to3 - $3 S-
Emergency Contact / Title Emergency Contact / Title
ALAN HOLZMAN / NET OPER MGR RUSS WALKER / OPERATIONS TECH
•Business Phone: (661) 873-2401x Business Phone: (661) 747-7001x
24-Hour Phone (661) 872-2662x 24-Hour Phone (661) 321-5214x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth
Contact SHAWN STACEY Phone:
MailAddr: 255 PARKSHORE DR State: CA c~~~ ~C~.~ Z~j~
City FOLSOM Zip 95630
Owner VERIZON WIR S
Address 2785 M ELL DR ~a'~Q Phone: (925) 27 ~'''5x
State:
City WAI OJT CREEK Z ' 94598
Period
to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: R
Ss: No
ParcelNo: _
Emergency Directives: I
PROG A - HAZMAT
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Based on my inquiry of those individuals
responsible far obtalning the information, t certify
under penalty of law that I have
examined and m familiar with the nforrnation
su milted and believe the information is true,
ac rate, and c mplete.
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-1- 03/28/2006