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HomeMy WebLinkAbout1407 COLUMBUS AVENUE (2)' ' Unidocs - Uniform Documents ~-TCJ F~7 ~ 2z_ ~"'~~ Z 7 ~~I~~~''~~~~ ~~~'~~"!~~ ~~~It~~ ~~~t~,~~ :: ~ ~~"~,~~~ Page 1 of 2 Viewing/Updating Facility Information After modifying the faci lity information below, click'Update Facility' to update the database. No Users Have Access to this Facility I. IDENTIFICATION FACILITY ID#: 15 __.. _ t ^' 021_ __..._I ^' 004007 ; BEG~NNING DATE (MM/DD/YYYY) ENDING DATE (MM/DD/YYYY) : 10/27/2008 _ __ .. ...._~ ._._. ~ __..._ ...._... .~___... . . . ... _..~ BUSINESS PHONE (#ilk) #tiii-#il## BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) EZ LUBE #130 x#H#i~ 661 431-1380 ~~ ~~ BUSINESS SITE ADDRESS: 1407 COLUMBUS AVENUE ~ _ .._ _v........_ ~ _ _ ; _. CITY: _~_ _.~,.__ .. ~ _ .~_______ ~. .._. . __~ . ~... _..: STATE: ZIP CODE: BAKERSFIELD _. _.,,, .. ._ CA 93305 : , _ . . _.. ..... DUN & BRADSTREET: ......... .... ___._ _.._ _ SIC CODE (4 digit #): .,~.._.~.~..~..,,..~..._~,~..,.,~.~,._.,.,, _~ ~.__._~__~ COUNTY: KERN ...._~_.~ _ .. . ~ ; Bu ~. ~. __ ________..__.~.~_ ~ SINESS OPERATOR NAME: ~ _ _ ... . BUSINESS OPERATOR PHONE: (#If#) ###-#~ik# x##i~# EZ LUBE, LLC ~._.._ ~___ _m....,..~.._.~_ ; (714)556-1312 ~ ___ _e.~....~..~ II. BUSINESS OWNER OWNER NAME: OWNER PHONE: (###) ###-###!1 xM### CAMDEN HOLDINGS, LLC ~m .~ .~.. ..... __ ._ . _~__ ____. .. ~ (310)553-1031 ~ __.__ _. _.._.. ~ _ .__._ , OWNER MAILING ADDRESS: _. . . __. . . .. . 9454 WILSHIRE BLVD., 6TH FLOOR _~~._.~._~...._..__..~_~___~ ~ CITY: BEVERLY HILLS ~ ..~ ____ _.__ _~..., . _~ __, .__..... __......._.._.~...~. _..~.___~.___ ~__._.. STATE: ZIP CODE: ~ CA ? ~90212 ~ _._ . . ~.._._. ._ ~. . _, ~ __..._. . _ _ _ _... . __._~ III. ENVIRONMENTAL CONTACT CONTACT NAME: CONTACT PHONE: (#ft#) ##il-#ltlf# xk### MAURICE FLORES __ (714)556 1312 ~ ____ _ CONTACT MAILING ADDRESS: 3506 W. LAKE CENTER DRIVE SUITE B .~._ ....__ .~.~.. °.'.~ .._ CITY: ~ANTA ANA ~ . .__..._...~, _,.___ _..ZIP CODE: ~~.. STATE: CA 92704 ~ IV. EMERGENCY CONTACTS -PRIMARY- -SECONDARY- https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-004007 12/3/2008 ' Unidocs - Uniform Documents NAME: CHRIS CURLEY TITLE: DISTRICT MANAGER BUSINESS PHONE: (~ik#) tlk#-##~i# xkrik# (7,14)556-131_2 ~ ~.........__~~.. 24-HOUR PHONE: (#N#) iINN-###k xN~iNli ~ PAGER#: ~ (714)457-5621~ ~ ~ ADDITIONAL LOCALLY COLLECTED INFORMATION: Page 2 of 2 NAME: ~CESAR TRELLES ~~ TITLE: AREA MANAGER i BUSINESS PHONE: (#N#) ri##-k~i## xk#tkN J (714)556-1312 ^ T ~~ 24-HOUR PHONE: (#k#) Nlfii-1lli#ii x##Nk PAGERri: (714)585-6495_~rv~W ~ Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certiTy under penaltyof law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. DATE: (MM/DD/YYW) 10/27/2008 NAME OF SIGNER: ~~~ ~ MAURICE FLORES NAME OF DOCUMENT PREPARER: MAURICE FLORES ~ ; TITLE OF SIGNER: DIRECTOR OF COMPLIANCE ~ UPCF(1/99 revised) Back_#o Activity._Selection. OES FORM 2730 (1/99) home ~ whaYs new ~ m~m.yerr,_agenqi~~ ~ document$ and rgrvigeg ~$garC_h_.Nni~1QCS ~ cont.a~t u~ related._links ~ train~~g and..meetin.gs. For comments or questions regarding the HMIS project, contact the O.n.li~e pata.k.a5e._..A_.dmin. istr_a~gr. hosted by City_of_Palo Alto https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-004007 12/3/2008