HomeMy WebLinkAbout6045 ROSEDALE HWY~ Unidocs - Uniform Documents ~ O ~~ Page 1 of 2
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Viewing/Updating Facility Information
After modifying the facility information below, click 'Update Facility' ta update
the database.
FACILITY USERS
Name Phone Number Email
Luc.y__Di_ckhoff ~-303-286-4394 environmental.@ur,_com
I. IDENTIFICATION
FACILITY ID#: BEGINNING DATE (MM/DD/YYYY) ENDING DATE (MM/DD/YYYY)
15 ~... 021 ~~ 004010~ E !
__ ..~._~ ~
BUSINESS PHONE (###) It#t!-ttrilttl
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) xtt#kN
United Rentals #434 ~
___.._.~__._...__._...______ _._.~..._..~._...__--__-___--____.__~ ___ ~__... __~ ~ ~
BUSINESS SITE ADDRESS:
6045 Rosedale_Highway
.. . _.._. _.__._~. . _ __ _ ..._..~ ....._......_. _ _ _....
CITY: STATE: Z~P CODE:
Bakersfield ; CA r93308 €
~
___ _ ___...___~ ~. ~__..._.___.._. _..~_~_ ~
DUN & BRADSTREET: SIC CODE (4 digit ri):
~ I
COUNTY:
Kern
BUSINESS OPERATOR NAME:~ ~ BUSINESS OPERATOR PHONE: (ifN#) ii##-It##tt x####
- (
..__..__.______.~_........___ __v_____...._~..~.~_.._____~ ~ _.W..._.__.~______~..__.._._~___1
II. BUSINESS OWNER
OWNER NAME: OWNER PHONE: (#tl#) HM#-{tM{fk xttqlt#
__
.r __ ~ _._.._._____ _,.._...........__... __~..~__.__._,~ . ~._ _..__. __; .~___ _ _____..__.___.__...._._...._.._.._~
OWNER MAILING ADDRESS:
__......... . _...... _ ....,
CITY: STATE: ZIP CODE.
.__.____._._.~_.. .__....,.__...__.___~ ~ ~._._._._ ~ _.___.~_._..___.._..._ ______._.~...~...__...._I
III. ENVIRONMENTAL CONTACT
CONTACT NAME: CONTACT PHONE: (##H) ttt~N-###ri
x#ri#tl
;
~ ....._.__..._....~ ~..______._.~...__._....._.~
CONTACT MAILING ADDRESS:
_ ......,
CITY: STATE: ZIP CODE:
_~ ` i
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Unidocs - Uniform Documents
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IV. EMERGENCY CONTACTS
-PRIMARY-
NAME:
TITLE:
BUSINESS PHONE: (Nkti) M#N-iNikti xliii#M
I n...n....._........._______.....~....____.......__.......... _.._....~i
24-HOUR PHONE: (k##) M##-li~kil xii##k
PAGERIf:
_. .~.~. _.~ ~._1
ADDITIONAL LOCALLY COLLECTED INFORMATION:
-SECONDARY-
NAME:
I
~
TITLE:
I
-- _ _ _.._._.._.~---......!
BUSINESS PHONE: (#Nk) #N#-tl#N# xHft#tl
~.~~ ....................._____..~..............__ __ _ __..._......_...)
24-HOUR PHONE: (kilk) ###-ii~i## xN#riii
~
PAGER#:
_ _.w ____.e.____ ~. .__....._ _.~
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)
NAME OF .___.__~.,.~_~_...~_. ._._ ___.__....._...._ __ _
SIGNER:
NAME OF DOCUMENT PREPARER:
1
T~TLE OF SIGNER: ~nm~~~~~mw~ ~T~T V~~
1
llpdate Facilrty ~~
UPCF(1/99 revised)
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