HomeMy WebLinkAboutBUS-OPERATOR/OWNER ID 12/31/200915-021-000896, SBC - SAll4, 12/30/2008 5:35:18 PM
UNIFIEll PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINES S OWNER/OPERATOR IDENTIFICATION
Page 1 ot 1
I. IDENTIFICATION
FACILITY IDN ~~
~ ~ BEGINNING DATE 10° ENDING DATE 101
1 5 ~ 0 2 1 ~
~;~~ 0 0 0 8 9 6 1/1/2009 12/31/2009
BUSINESSNAME~SnmessFACILITYNAMEorDBA-DoingBusinessAs) 3 BUSINESSPHONE ~~
SBC - SA114 (805) 871-0011
BUSINESS SITE ADDRESS io3
3501 COLUMBUS ST
CITY ~~^ ZIP CODE ios
BAKERSFIELD CA 93301
DUN & BRADSTREET ~~ SIC CODE (4 digit #) 10~
10-340-1618 4813
COUNTY 10"
KERN
BUSINESS OP6RATOR NAME ~~r~ BUSINESS OPERATOR PHONE 110
GRANT ARMSTRONG (661) 327-6903
I1. BUSINESS OWNER
OWNERNAME ~~~ OWNERPHONE 112
Pacific Bell Telephone Company dba AT&T California (800) 566-9347
OWNER MAILING ADDRESS 113
PO BOX 5095, RM 3E000
CITY 114 STATE 115 ZIPCODE 116
SAN RAMON CA 94583-0995
lll. ENVIIiONMENTAL CONTACT
CONTACTNAMf ~~~ CONTACTPHONE ~~"
GARY CHIMIENTI (925) 823-0725
CONTACT MAILING ADDRESS ~ ~y
PO BOX 5095, RM 3E000
CITY 120 STATE ~Z~ ZIP CODE ~u
SAN RAMON CA 94583-0995
-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY-
NAME ~~ NAME ~~
GRANT ARMSTRONG EMEREGENCY CTRL CENTER
TITLE ~~^ TITLE i29
ENV. SITE MANAGER 24 HR CALL CENTER
E3USINESS Ph10NL' 125 BUSINESS PHONE ~30
(661) 327-6903 (877) 322-4722
24-HOUR PHONL ~Z~ 24-HOUR PHONE 13~
(800) 566-9347 (800) 566-9347
PAGER N 127 PAGGR N ~32
(661) 721-4747
ADDITIONAL LOCALLY COLLGCTED INFORMATION: i33
15-021-000896-SU B MITTE D30-D EC EM BER-08
Certification: Qased on my inquiry of those individuals responsible for obtaining the information, I cerlify under penalry of law that 1 have personally examined and
nm familiar with the information submiued and believe the information is true, accurate, and complete.
SIGNATURE OF OWNEWOPERATOR OR DGS NATED R SENTATIVE DATE ~34 NAME OF DOCUMENT PREPARER i35
12/30/2008 STEPHEN LOCKERT
NAME OF SIGNI3R (prim) ~3~ TITLE OF SIGNER 137
STEVE SKANDERSON SR. PROJECT MANAGER
UPCF ( 1/99 revised) OES FORM 2730 (1/99)