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+ VA OUTPATIENT CLINIC ________________________________ SiteID: 015-021-000268 +
Manager
Location: 1801 WESTWIND DR
City BAKERSFIELD
BusPhone: (661) 652-1801
Map 102 CommHaz Low
Grid: 26B FacUnits: 1 AOV:
CommCode: BFD STA Ol SIC Code:8093
EPA Numb:
~ DunnBrad:95-652-1504
__ _-_-
~
Emergency Contact / ~'itle itle
Emergency Contact /
/' 1
Business Phone: (661) 632-1801x Business Phone: (661) 632-1801x
2 4 -Hour Phone ( 6 61) `7!"? 3Qq 2 4 -Hour Phone ( 6 61) 6z~-8~6~-8~~ ~ go
*~~=,-,ti.,~nA (661) ~-..,-- r'~----- -
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact Phone: (661) 632-1801x
MailAddr: 1801 WESTWIND DR State: CA
City BAKERSFIELD Zip 93301
Owner DEPT OF VETERANS AFFAIRS US GOVT Phone: (661) 632-1801x
Address 16111 PLUMMER SrI' State: CA
City SEPULVEDA Zip 91343
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certifld:~ RSs: No
ParcelNo:
Emergency Directives: ~ ~,
PROG A - HAZMAT
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of taw That. I have personally
examined and am famiti r with the information
submitted and elieve a information is true,
accur , and c ~ple _
'nature Date
EN~'p MAR 2 0 2006
-1- 02/27/2006