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HomeMy WebLinkAboutBUS-OWER/OPERATOR ID 3/1/1975UNIFIED PROGRAM CONSOLIDATED FORM >~~ C~ J <'~~d-~ FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page 1 of 1 I. IDENTIFICATION FACILITY ID# ~ BEGINNING DATE ~~ ENDING DATE ~~~ 1 5 :~ 0 2 1 :~ ,..~. , T M P 1 1 7 3/1/1975 BUSINESSNAME~SameasFACILITYNAMEorDBA-DoingBusinessAs) 3 BUSINESSPHONE ~~Z IFG Services, Inc. 661-327-9997 BUSINESS SITE ADDRESS ios 3732 Chester Ave. CITY ~~ ZIP CODE ios Bakersfield ~A 93301 DUN & BRADSTREET ~~ SIC CODE (4 digit #) ~o~ 077966455 COUNTY io$ Kern BUSINESS OPERATOR NAME ~~ . BUSINESS OPERATOR PHONE ~~~ James KEith Welch 669-327-9997 II. BUSINESS OWNER OWNERNAME ~~~ OWNERPHONE ~~2 James Keith Welch 661-332-1366 OWNER MAILING ADDRESS i i3 P.O. Box 2106 CITY 114 STATE 115 ZIPCODE 116 Bakersfield . . . . CA 93303 - ^I...ENVIRONMENTAL CONTACT • ,.. ~..: _,,:,, .a, ~.t: - - _ CONTACTNAME :,,,, :,•,t~,, ,.,~ ;,~.:. . , ,. >>, .. . ,. ., . ..~~..F . . ~~~ ~;- . CONTACTPHONE ~~g ~ James.Keith.VUelch~ .....~ „1;:~• ~ , .~ ~ r , ., , . ~: -~~..:, t .. - . . . _. ~ _ ....__ _ -- '661~=332=1366 . , . , :r _ _ :~ .~ ---...__._.___..~... _•_..__..__ ._._ __._ _ -~- -- CONTACT MAILING ADDRESS ii9 P.O. Box 2106 CITY 120 STATE ~Z~ ZIP CODE iz2 Bakersfield CA 93303 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME iz3 NAME iza James Keith Welch TITLE iz4 TITLE iz9 Owner BUSINESS PHONE 125 BUSINESS PHONE tso 661-327-9997 24-HOUR PHONE izb 24-HOUR PHONE i3i 661-332-1366 PAGER # 127 PAGER # isz ADDiTIONAL LOCALLY COLLECTED INFORMATION: ~ - iss : l5=02~ -Tm P I1~-SviY~rT1`F„r~~~Z, ~~CEi-'~ c3E2-og -. . .._. _. .._,... _ _ __. ' ,l ~~ L ' . . . _ _..,.... ,~~ . . _. _.. _- . . .. ... ._ . . _ _._ _., _ .. _ .._ .._ . _ _...'__"" _ _'_. _._..._.._ _ _.~.."__ _..~ _~.. _ .... Certification: Bas y~m 'ry of those individuals responsible for obtaining the information, I certify under penalty,of law thaf,l have personally examined and ~ , am familiar , ' the informatio submitted a eli the information is true, accurate, and complete. .. ~; ;; ~.~.; ,; ~,: ,, , .5 .. . . • . . . . _ .. . ._ .__._ _. . ._.. _ .. .._ --... _. ----- SIG l9RE OF OWNER/OP TOR O' SIG TED REPRESENTATIVE - DATE . i34 NAME OF DOCUMENT PREPARER 135 ~ ~ 12-12-08 Miles Middleton - - - ~ - NAME OF SIG nq 136 TITLE OF SIGNER ~3~ Keith ch Owner UPCF ( 1/99 revised) OES FORM 2730 (1/99)