HomeMy WebLinkAboutBUENA VISTA ROAD~
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Viewing/Updating Facility Information
After modifying the facility information below, click 'Update Facility' to update
the database.
FACILITY USERS
Name Phone Number Email
C.ynthia._J...._P...a...ppas. 925-415-6302 cip2.@p~e..com
I. IDENTIFICATION
FACILITY IDq: BEGINNING DATE (MM/DD/YYYY) ENDING DATE (MM/DD/YYYY)
15 ) ~ 021 ~ ~ 004012~ ~~ ~ ~ ~
BUSINESS PHONE (H##) ##k-###N
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) xN#~tH
PG&E KERN RIVER STATION ' "'~
~.__~ _.. _. __.~__..__....___ _..._~._~_._____.~ ____________.~._~ ~ ..............._... .................._........._.. _?
BUSINESS SITE ADDRESS:
2.0 MI W/O BUENA VISTA RD 1.75 MI S/O STOCKDALE HW
___....._._._~_ ......................._--._............_.............._.._.._..._.._......................__............_ _---....................~.._....___....__.._._.........__......._._..____._._.....~............................_......_.........__..
CITY: STATE: ZIP CODE:
BAKERSFIELD ~ ~~ ~~ CA 93307 ~~~
DUN & BRADSTREET: SIC CODE (4 digit #):
_......_ _......._ ; 1 _...... I
COUNTY:
KERN
BUSINESS OPERATOR NAME: BUSINESS OPERATOR PHONE: (k#ri) ###-#k## xtl#k#
__.__ .____ _~.__......_~__ ~ .v_. __.___.. ._..___._._.._..~ _... .. _.__ _ _ ~ .~._.._...~._.___~ _ _1
II. BUSINESS OWNER
OWNER NAME: OWNER PHONE: (k##) #HN-Ht!#N x##ril!
; ~
__...__._______,...~.._____.__~_._.~~.__~_.W_______._..._.........._.___.~__W_W______.....__._._._.? .~~________..,._....___. __.__~.~.._.[
OWNER MAILING ADDRESS:
__..... _._........ __...... ,
CITY: STATE: ZIP CODE:
i
__.. . ~. _. _ _.___..~__._.._...~__ ?
III. ENVIRONMENTAL CONTACT
CONTACT NAME: CONTACT PHONE: (##N) t!#ll-#Ifif#
x#N#1i
F
i
......,......,........~.m.~.....,...~ ...................,.......... ....... ~
................................................_._..rv.._....,,............,.................,.~
CONTACT MAILING ADDRESS:
... , _ _ .. . . .. . ........ ;
CITY: STATE. ZIP CODE:
~ ? ~- ~
https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-004012 12/3/2008
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Page 2 of 2
IV. EMERGENCY CONTACTS
-PRIMARY-
NAME:
TITLE: ~
____ _.__ _____ _ ~ .__.~._._._~ __~ .__:
BUSINESS PHONE: (###) #i##-~Itf#N xf#~iN#
a
a
........._ ..............................._......_........__............__._.._..........~
24-HOUR PHONE: (ttN#) #NN-Ntf#N xk#k#
~ _.~..._1
PAGERN:
~ _ _.~__ __... . _ ~
ADDITIONAL LOCALLY COLLECTED INFORMATION:
-SECONDARY-
NAME:
~
3
TITLE: WW~ ~~
BUSINESS PHONE: (#Hli) #k#-NkM# xlf##ii ,
__.~_._....____~._.~.___...._._ ................~........_.~...._.~~~~.~
24-HOUR PHONE: (#tIM) tlk#-ti~ik# x###ii
~ ~
PAGER#:
___W__r _ .___,..__.. ~ _._ ___._...~
Certification: Based on my inquiry of those individuals responsible 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.
DATE: (MM/DD/YYYY)
NAME OF SIGNER:~ ~mm~~
NAME OF DOCUMENT PREPARER:
TITLE OF SIGNER:~ mm_~~mm~m~~Y.~
i
.........,..r__~_.~.....~.._..._ ............................._._~_~_~_...__......3
UPCF(1/99 revised)
Back._to._Acti..v,ity.._Sel.ection.
OES FORM 2730 (1 /99)
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https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-004012 12/3/2008