HomeMy WebLinkAbout321 21ST STREETi
5~021-TMPOBB, KERO-TV, 12/4/2008 10:10:19 AM
UrTIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
~ Page 1 of 1
I. IDENTIFICATION
FACILITY ID# ';°:. ~ BEGINNING DATE 100 ENDING DATE ~01
1 5 ::" ~
~ 0 2 1 '.: T M P 0 8 8
orDBA-DoingBusinasAs) 3
BUSINESSNAME~SemeasFACII.ITYNAtdE BUSiNESSPHONE ~~Z
KERO=N 661-637-2323
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BUSINESS SITE ADDRESS
321 21 st Street
~~
CITY '
CA ZIP CODE 105
Bakersfield 93301
DUN & BRADSTREET ~~ SIC CODE (4 digit #) 107
~~
COUNTY
KERN
BUSINESS OPERATORNAME ~~ BUSTNESS OPERATOR PHONE ~~~
KERO-TV 661-637-2323
II. BUSINESS OWNER
OWNERNAME ~>> OWNERPHONE ~~Z
McGraw-H.ill Broadcasting Co. Inc. . 661-637-2323
113
OWNER MAILING ADDRESS
321 21 st Street
CITY na STAT'E ~~s ZIPCODE tib
Bakersfield CA 93301
III. ENVIRONMENTAL CONTACT
CONTACTNAME ~~~ CONTACTPHONE 118
Tom Wimberly 661-637-2323
119
CONTACT MAILING ADDRESS
321 21 st Street
CITY ~~ STATE ~Z~ ZIP CODE ~u
Bakers~eld CA 93301
_p~MpRy_ IV. EMERGENCY CONTACTS -SECONDARY-
~z~
NAME
NpME ~~s
Tom Wimberly Steve McEvoy
TITLE 124 TITLE v5
Chief Engineer General Manager
BUSINESS PHONE ~u BUSINESS PHONE ~30
661-637-2323 661-637-2323
24-HOUR PHONE ~~ 24-HOUR PHONE 13~
661-706-2342 661-706-2304
PAGER # ~Z~ PAGER # t3z
ADDITIONAL LOCALLY COLLECTED INFORMATION~ ~ 133
,5~,-Zt~r~ i~ ~,~ ~`'~~ -~ i iy/r G`~o ~' .
•~i9/~'S'tylr7l~ ri~ i~S =~E~F.-~ ~~ %/~'~/`~'C~~`f
Certification: Based on my inquiry of those individuals responsble for obtaining the information, I certify under penalty of law that I have personally examined and
am familiar with the informazion submitted and be6eve the information is true, accurate, and complete.
~J OF OWNER/OPERATOR R DESIGNA'fED PRESENTATIVE
SIGN DATE ~~ NAME OF DOCUMENT PREPARER t35
,
~.~~ , ~ ~ :~,(!,~ 12/01/08 Tom Wimberly
NAME OP SIGNER (print) ~ 136 T1TLE OF SIGNER 137
Tom Wimberly ~ Chief Engineer
UPCF ( 1/99 revised) OES FORM 2730 (1/99)
Unidocs -~Uniform Documents
Ma~ardous !~ll:aterials {~n~ine ~r~~~ntory 3Pr,o~~c~
Business Certification Form
I. AGENCY IDENTIFICATION
Page 1 of 2
AGENCY NAME:
Bakersfield Fire Department
. .. . ._
MAILING ADDRESS: CITY: ZIP:
1501 Truxtun Ave. ; Bakersfield ~ ~C`A~`~
_. , ,
...... .........~............... ..._.........._..... ....~ . ..... .._ ........_.....~. ... . . . . . _. _. . _ _.. ....... ... ~~__......_..__....__.~,...._ .,...__ ., . _...__ ..._....., ~ _„•,-, .. . . _ _..-,... _.
II. FACILITY IDENTIFICATION
Pursuant to Sectlon 25503.3(c) of Californla Health and Safety Code (HBSC), the Hazardous Materials Bustness Plan (HMBP) certiflcation
descrlbed below Is hereby submitted for the following facility:
FACILIN NAME: FACILITY ID#:
KERO-TV ~ 15-021-TMP088 ;
STREET #: STREET NAME: CITY: ZIP:
321 ; 21 st Street , Bakersfield ; 93301
DATE OF CURRENT HMBP:
3/9/06 ; ~°
III. CERTIFICATION
I certify that: (Check the appropriate box.)
r I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certify that the HMBP is complete aro
accurate. (See bottom of page for details.)
~-~ Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is being implemented. A copy of the revisions is
enclosed with this Certification.
OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those Individuals responsible fo
obtafning the (nformatlon reported above, I believe that the submitted information Is true, accurate, and complete. I understand that a revis
HMBP must be submitted within 30 days of any change In this facility's storage or handling of hazardous materials which would requfre
updating of the HMBP.
SIGNATURE OF OWNER/OPERATOR:
YeS r~,,~
;~t', ~
........ _ ...
NAME OF OWNER/OPERATOR:
~Steve McEvoy
By checking the upper box on this form, you are certifying that
DATE SIGNED:
; ~n
12/1/08 ,~
_ . .._...... .. ......
TITLE OF OWNER/OPERATOR:
Vice President and General manager ;
• The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and
• There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory form
and
• The facility has not begun handling any hazardous material in a HMBP reportable quantity which is not currently listed in the Hazardous Materials
Inventory; and
• The HMBP most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and
• There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP.
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