HomeMy WebLinkAbout321 21ST STREET (3)1~-021-TMPOBB, KERO-TV, 12/4/2008 10:10:19 AM
~ UNIFIED PROGRAM CONSOLIDATED FORM
/~- O21 - O 00 S
'~~ FACILITY INFORMATION
BUSINESS OWNERIOPERATOR IDENTIFICATION .
Page 7 of t
I. IDENTIFICATION
FACILITY ID# ',~ ~ BEGINNING DATE 100 ENDING DATE
; ~~~
1 5.: :,'; , ~. T M P 0 8 8
0.2 1
BUSINESSNAME(SameasFACILITYNANIEorDBA-DoingBusinessAs) 3 BUSINESSPHONE 102
KERO=N 661-637-2323
103
BUSINESS SITE ADDRESS
321 21 st Street
105
CITY ' ~~
CA ZIP CODE
Bakersfield 93301
DLlN & BRADSTREET 106 SIC CODE (4 digit #) 107
i~
COUNTY
KERN
~~ BUSINESS OPERATOR PHONE
110
BUSINESS OPERATORNAME
KERO-N 661-637-2323
II. BUSINESS OWNER
OWNERNAME >>> OWNERPHONE ~~Z
McGraw-Hill Broadcasting Co. Inc. 661-637-2323
113
OWNER MAILING ADDRESS
321 21 st Street
C1TY •
~~4 STATE 115 ZIPCODE
116
Bakersfield CA 93301
III. ENVIRONMENTAL CONTACT
CONTACTNAME ~~~ CONTACTPHONE ~~a
Tom Wimberly 661-637-2323
119
CONTACT MAILING ADDRESS
321 21 st Street
CITY 120 STATE ~2~ ZIP CODE ~u
Bakersfield CA 93301
-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY-
~~
NAME
~~
NAME
Tom Wimberly Steve McEvoy
~~
TITLE 124 TITLE
Chief Engineer General Manager
,30
BUSINESS PHONE ~~ BUSINESS PHONE
661-637-2323 661-637-2323
13~
24-HOUR PHONE ~~ 24-HOUR PHONE
661-706-2342 ~ 661-706-2304
132
PAGER # ~Z~ PAGER #
133
fwutiivrvni.~~~ru.L:I.VLLC.l.1GLii~ava~i~u'~aava.. ~
,Sj-Zl~`j!~ /~7 ~.5=-d"~/ -~ % /~'//~'G`1 ~
•~A~~~7T~ r~ i,s =-~~~-~ ~~ i /~'!/~'U25`
Certification: Based on my inquiry of those individuals responsble for obtaining the information, [ certify under penalty of law that I have personally examined and
am familiar with the infortnazion submiued and believe the information is true, accurate, and complete.
......~ . T~ ~ot nc n~~naroinnca e~'na na nFCtGNATF.D REPRESENTATIVE DATE 1~' NAME OF DOCUMENT PREPARER ~35
12101/08 ~ Tom
NAME OF SIGNER (print) ~ ~
Tom Wimberly l Chief Engineer
UPCF ( 1/99 revised) OES FORM 2730 (1/99)
Unidocs - Uniform Documents
~Iazar~~o~s ~Ja~~ria~s ~~~~~:~e l:n~e~~flr~y ~P:roject
Business.Certificatian Form
I. AGENCY IDENTIFICATION
Page 1 of 2
AGENCY NAME:
Bakersfield Fire Department ,
MAILING ADDRESS: CITY: ~
1501 Truxtun Ave. ; Bakersfield ~ CA ;
....._....... .. ....__. ... ... ..... . ....... . .... _ ...__ .... ~.......... ......._...... .. .,. ... ......._..... .~ ........ _. . ....
I1. FACILITY IDENTIFICATION
Pursuant to Section 25503.3(c) of Californfa Health and Safety Code (HBSC), the Hazardous Materials Business Plan (HMBP) certification
described below is hereby submitted for the following facility:
FACILITY NAME: FACILITY ID#:
KE RO-N 15-021-TM P088 :
STREET #: STREET NAME: C~TY: Z~P'
321 j 21 st Street Bakersfield _ ; 93301
DATE OF CURRENT HMBP:
3/9/06 ; ~'"9.
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 an~
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
r' enclosed with this Certification.
OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible fo
obtaining the informatlon 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 facflity's storage or handling of hazardous materials which would require
updating of the HMBP.
SIGNATURE OF OWNER/OPERATOR:
;~•;
Yes "~:''
. . ... .. ~
NAME OF OWNER/OPERATOR:
~Steve McEvoy
By checking the upper box on this form, you are certifying that:
DATE SIGNED:
12/1/08 ; ~°
R/OPERATOR:
TITLE OF OWNE
Vice President and General manager
• The infortnation 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 lhe most recently submitted Hazardous Materials Inventory form
and
• The facility has not begun handling any hazardous material in a HMBP reportable quantily which is not currenUy listed in the Hazardous Materials
Inventory; and
• The HMBP most recently submitted HMBP contains the infortnation 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.
`x~ ~~~`~Update Business F;lan Ceirtification form; ~ ; ;,:~
Back to Activi Menu
~~~,~~_~ ~~~
-~,~,~,~'srn r~~;~ S~ l e
::~.
;~~:~~..
.., ~ .
° ~ :~
. ::..~
_ ~a
, ~~r>'"'
1,.,,~ ^'^'.w.'
;y"t
}t rt ~,~
( ~+ iA1Cit:T
;`,i r;t
Y u~C ~,~.>,
,t ~,~C•+n ! ~ a
~ ~~F~ ~
s M::
ASsi~f~~'. .
:~Zt,~~:'f?I?
4
'~.. . Y
~ li~'rSNRU
s.~s~. h'
~kmik'
~ :
r t.a3x
4ae,:
~