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HAZ-ONLINE INVENTORY 12/16/2008
Unidocs - Uniform Documents 'H~zardt~zus M~t~r~a~s a~~rtl~n~ In~~~tQ~ry .R~r+~j±~c~ Page 1 of 2 Viewing/Updating Fac6lity Information After modifying the faci lity information belaw, click 'Update Facility' to update the database. FACILITY USERS Name Phone Number Email Bryan.. B.lair 901-495-7217 bryan.b.lair@h_otmail.com. I. IDENTIFICATION FACILITY IDJf: 15 ~~ 021 ~ 002861 ; BEGINNING DATE (MM/DD/YYW) ENDING DATE (MM/DD/YYYY) r ; r ~ BUSINESS PHONE (Hlt#) Hk#-ti#kH BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) X~~~~ AUTOZONE 3311 __.._...~~.______._._______~. __~__ ~ ____..____._~.____._..__~____~ 6618278300 BUSINESS SITE ADDRESS: 6615 MING AVE __._..............._~..,_..............._........... . . __._...~.__...._. ..............~.............. CITY: ..........................~. .._. _..~_............._~...............................~_....~.__.._..~....................................._._..._.__,.._......__..._.._..... STATE: ZIP CODE: BAKERSFIELD _..___._ ~_~__.~__~_ .... . . ; CA 93309 ; ~__ _. __., _..__....._ DUN & BRADSTREET: ..~._.. __. ~~ ~.._~__.~__~ ._.. ~ SIC CODE (4 digit #): 15-725-3511 ; 5531 : l ____ _ COUNTY: _ _ KERN BUSINESS OPERATOR NAME: BUSINESS OPERATOR PHONE: (M#ll) ##N-#Nkk xNri## RICHARD TORRES ~ ~ ~~ 6618278300 ~ ~J II. BUSINESS OWNER OWNER NAME: OWNER PHONE: (##k) tt##-#{t## xNkltN AUTOZONE INC ~__~___.. ~.....__.~_..__..~.. . ~ 9014956500 ~ ~ _____ ~____._ OWNER MAILING ADDRESS: ~ ~.._.~_._._...~.r .__ ~.~__.._....... .__._._ .____._.._.,.~__.. ~.____~ 123 S FRONT ST : CITY: ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STATE: ZIP CODE: MEMPHIS _ _ _ ~ TN ~ ~~ 38103-3607 ~ ~ ~ III. ENVIRONMENTAL CONTACT CONTACT NAME: CONTACT PHONE: (#!~N) t~llil-#N## RICHARD TORRES ~ xllti~lf _ ~ ~ 6618278300 ~ __--__._.._.~... ~_~__~ CONTACT MAILING ADDRESS: 6615 MING AVE ................................................. .... . , . ...... ................................................. CITY : ........STATE:.............................. _....................................._ZIP CODE:........_................ BAKERSFIELD ~ CA ~ 93309 ~ https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-002861 12/16/2008 ~ .~Jnidocs - Uniform Documents IV. EMERGENCY CONTACTS ~a{a-a,~~ `e_~~° ~~- `~7 ~- -PRIMARY- NAME: RICHARD TORRES TITLE: DISTRICT MGR BUSINESS PHONE: (##k) #N#-k!t#~ xHtf~M 6618278300 ~ ___.~...__~......~.__._...__..._._. ..................._.....__....._.~.....~.~ 24-HOUR PHONE: (##~f) #rik-N#~i~ xriNttk 8003139693 ~j PAGER#: ADDITIONAL LOCALLY COLLECTED INFORMATION: -SECONDARY- NAME: RICHARD TORRES ~W__~j TITLE: DISTRICT MGR i ~_.__.________ ~._____._~____.__....~......__.._~ BUSINESS PHONE: (##M) ##If-###k xlittMlt 6618278300 _...._...~..._._.._..._....~......_._........_.........__._.,........._..~........_.._.. 24-HOUR PHONE: (#~ilf) #Hk-ti#~M xlikkti 8003139693 J PAGERH: ~ ._ __.___ ~._._ ~ Page 2 of 2 Certification: Based on my inquiry of those individuals responsibte for obtaining the information, I certify under penaltyof law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Send invoices to: (~ Dept 8190 ~ . ~. 123 South Front Street ~ Memphis, TN 38103 { ._~. _~.~. _ ~ ~~~ DATE: (MM/DD/YYYY) ~ 2/~ 6/2~~8 NAME OF SIGNER: ~~ ~~~~~~ Bryan Blair NAME OF DOCUMENT PREPARER: Bryan Blair i TITLE OF SIGNER: ~ Environmental Specialist _~___J UPCF(1/99 revised) Back._to._Activity Selection. OES FORM 2730 (1/99) home ~ what's new ~ members agencies ~ documents end services ~ search unidocs ~ contact_us relat~51_links ~ trafning.,~nd_mgeting.s. For comments or questions regarding the HMIS project, contact the Online..Database_Admini_$trator. ~~'~ ~~-er~ ~ Sl ~ hosted by Ciry of Palo Alto https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-002861 12/16/2008