HomeMy WebLinkAboutBUSINESS OWNER/OPERATOR ID 12/31/200915-021-000893, SBC - SA703, 12/31/2008 9:52:29 AM
UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
Page 1 of 1
I. IDENTIFICATION
FACILITY IDd ~ BEGINNING DATE ~W ENDING DATE ~~~~
1 5 0 2 1 ~' 0 0 0 8 9 3 1/1/2009 12/31/2009
.~~.
~
As) 3
BUSINESSNAME~SameacFACILI7'YNAMEOrDBA-DoingBusiness BUSINESSPHONE ~~
SBC - SA703 (661) 398-4415
BU3INESS SITE ADDRESS 103
5650 ALDRIN CT
CITY 10'+ ZIP CODE ios
BAKERSFIELD C'~' 93313
DUN & BRADSTREET ~W SIC CODE (4 digit #) 107
10-340-1618 4813
COUNTY 108
KERN
BUSINESS OPERATOR NAME ~~ BUSINESS OPERATOR PHONE 110
GRANT ARMSTRONG (661) 327-6903
II. BUSINESS OWNER
OWNERNAME ~~~ OWNERPHONE 112
Pacific Bell Telephone Company dba ATB~T California (800) 566-9347
OWNER MAILING ADDRESS 113
PO BOX 5095, RM 3E000
CITY ~~^ STATE 115 ZIPCODE 116
SAN RAMON CA 94583-0995
III. ENVIRONMENTAL CONTACT
CONTACT NAME ~~~ CONTACT PHONE ~~"
GARY CHIMIENTI (925) 823-0725
CONTACT MAILWG ADDRESS 119
5650 ALDRIN CT
CITY 120 STATE ~2~ ZIP CODE ~u
BAKERSFIELD CA 93313
-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY-
NAME ~~ NAME ~~
GRANT ARMSTRONG EMERGENCY CTRL CTR
TITLE ~~ TITLE ~Zy
ENV. SITE MANAGER 24 HR CALL CENTER
BUSINESS PEIONE ~u BUSINESS PHONE 130
(661) 327-6903 (877) 322-4722
24-HOUR PFIONE ~Z~ 24-HOUR PHONE 13~
(800) 566-9347 (800) 566-9347
PAGER N 127 PAGER # i3z
(661) 721-4747
ADDITIONAL LOCALLY COLLECTED INFORMATION: i33
15-021-00 08 9 3-S U B M ITT E D-31-D E C E M B E R-08
Certification: Dased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and
am familiar with the information submitted and believe the information is true, accurate, and complete.
SIGNATURE OF OWNER/OPGRATO DESIGNATED EPRESENTATIVE DATE ~34 NAME OF DOCUMENT PREPARER i35
12/31/2008 STEPHEN LOCKERT
NAME OF SIGNGR (prinq ~36 TITLE OF SIGNER ~3~
STEVE SKANDERSON SR. PROJECT MANAGER
UPCF ( U99 revised) OES FORM 2730 (1/99)