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+ MEMORIAL CENTER FOR BEHAVIORIAL _____________________ SiteID: 015-021-000046 +
Manager BusPhone: (661) 398-1800
Location: 5201 WHITE LN Map 123 CommHaz Moderate
City BAKERSFIELD Grid: 15D FacUnits: 1 AOV:
CommCode: BFD STA 13 SIC Code:8063
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
KEN LA BRECQUE / SAFETY COORD GERALD A STARR / DIRECTOR
Business Phone: (661) 327-4647x1812 Business Phone: (661) 398-1800x204
24-Hour Phone (661) - x 24-Hour Phone (661) 832-2087x
Pager Phone (661) 632-3287x Pager Phone (661) 335-3556x
Hazmat Hazards: Fire DelHlth
Contact Phone: (661) 398-1800x
Mai_lAddr-:-~ 5201_. WHITE.-LN - _- . ~ _ --S~t~te-:--CA - _ _
City BAKERSFIELD Zip ~: 93309
Owner GREATER BAKERSFIELD MEMORIAL HOSP Phone: (661) 398-1800x
Address 420 34TH ST State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
PROG C - COMM HOOD
PROG U - UST
9ased on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
Sig ure Date
06
-1- 03/29/2006