HomeMy WebLinkAboutHAZMAT ONLINE INVEN. 10/3/2008" ~ ~ "' Unidocs - Uniform Documents
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I. IDENTIFICATION
FACILITY IDk:
15...._~_~~ 021_._.~^' 004004_~.~ BEGINNING DATE (MM/DD/YYYY) ENDING DATE (MM/DD/YYYY)
~~___.._._........._~...~...._. _.__......._._~_ ~ ~~~.._..._. ~..__..__...._.__~
BUSINESS PHONE (#il#) 4fllii-tf#Nk
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) xNHlf#
JIFFY LUBE-MATT-TY INC ¢~__~..~ ~ ______; (661)872-7901 ~
~
BUSINESS SITE ADDRESS:
3727 AUBURN STREET
_. ___.~.._...___._ ._~_W____
.
.~
.. _..
CITY ~_. .._,_.._STATE: _„_ZIP CODE: "_..__~ __~ ....._...____ _
BAKERSFIELD
_ ................._.._ CA 93306 ;
_..._.................__..................................,...............................
DUN & BRADSTREET: ...._........... _..__~..__..... ..............__...
SIC CODE (4 digit li):
~ ~ ..~..~.._.__._._.~
COUNTY:
KERN
BUSINESS OPERATOR NAME: ~ ~~~ BUSINESS OPERATOR PHONE: (#ii#) Hk#-NkAk x#iiNlt
PAUL ROKNIPOUR mm (661)993-5844 mm~
II. BUSINESS OWNER
OWNER NAME: OWNER PHONE: (#HN) Nft#-#ktiil xN###
PAUL ROKNIPOUR
_.......... _._.~...__~ ......._... __..__... _~ ___ ' (661)993-5844 ~
:
................... .... ..._
OWNER MAILING ADDRESS: . __ . _ - _ _ . .. .. . ._ _ ._... _. . . .....
37140 25TH STREET EAST
CITY:
PALMDALE ~
_~.~______._.______ _. STATE: ~~ mm ZIP CODE:
CA i 91550 ~
__ ~ .._.~_,._.._._._ ~_.> _.._..~__ __..___,...__.__~__~..__.
III. ENVIRONMENTAL CONTACT
CONTACT NAME: CONTACT PHONE: (NM#) k##-liriilfi
x#k#il
ASBURY ENVIRONMENTAL
.... ,,..
_....._.. _....
(800)727-2870
_„ ... ..._....... .. _.. .~_.
CONTACT MAILING ADDRESS:
1300 S SANTA FE AVENUE
~
CITY:
COMPTON STATE: Mµ ~~µ~µµ~M~~~~~rvA~m~~ ZIP CODE:
,
, ~
CA 90221
IV. EMERGENCY CONTACTS
-PRIMARY- -SECONDARY-
https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-004004 12/3/2008
~ ~ -' Unidocs - Uniform Documents
NAME:
PAUL ROKNIPOUR
TITLE: ~
OWNER
BUSINESS PHONE: (tiM#) #H#-Ifk## xk#k#
(661)872-7901 1
......_.._.__.~._..._~._. __~..._ ................_._......_....._......
24-HOUR PHONE: (tiNq) ##k-kk#k xR#Nlt
(661)993-5844 ~
PAGERfl:
~ ......... ~.,W..,..,......,.,...... 3
ADDITIONAL LOCALLY COLLECTED INFORMATION:
Page 2 of 2
NAME:
JUAN PEREZ i
_~ _~__...__._______ _._. ~.;
TITLE:
MANAGER rv vu i
BUSINESS PHONE: (#il#) kk#-ftri## xkl!#Ji
(661)872-7901 _._._____........_._...._~
24-HOUR PHONE: (#kk) #If#-Niik# xlt#ilN
(818) 259-5300 ~
PAGER#:
.. _., _,,... _..... ~, 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/YYYY)
10/03/2008
NAME OF SIGNER:_T ~
JUAN PEREZ
NAME OF DOCUMENT PREPARER:
JUAN PEREZ ~
TITLE OF SIGNER: ~ ~ ~~~
MANAGER '
UPCF(1/99 revised)
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