HomeMy WebLinkAbout1401 19TH STREET15-021-002400, AT&T MESSAGING - PBI54, 12/30/2008 4:56:36 PM
UNIFIED PROCRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
Pege 1 of 1
I. IDENTIFICATION
FACILITY ID# i~s,~' ~ BEGINNING DATE 10° ENDING DATE 101
1 5 ~~~ 0 2 1 ° 0 0 2 4 0 0 1/1 /2009 12/31 /2009
~ ;_.,
p
BUSINESSNAME~SamensFACILITYNAMEorDBA- As) 3
DoingBuSiness BUSINESSPHONE ~~
AT&T MESSAGING - PBIS4 (877) 662-7674
BUSINESS SITE ADDRESS 103
1401 19TH ST
CITY ~~ ZIP CODE ios
BAKERSFIELD CA 93301
DUN & BRADSTREET ~~ SIC CODE (4 digit #) 107
4813
COUNTY 10S
KERN
BUSINESS OPERATOR NAME ~~~ BUSINESS OPERATOR PHONE 110
GRANT ARMSTRONG (661) 327-6903
11. BUSINESS OWNER
OWNERNAME ~~~ OWNERPHONE 11z
ATBT MESSAGING (800) 566-9347
OWNER MAILING ADDRESS 113
PO BOX 5095, RM 3E000
CITY 114 STATE 115 ZIPCODE 116
SAN RAMON CA 94583-0995
III. ENVIRONMENTAL CONTACT
CONTACTNAME ~~~ CONTACTPHONE 118
GARY CHIMIENTI (925) 823-0725
CONTACT MAILING ADDRESS 119
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 EMERGENCY CTRL CTR
TITLE 124 TITLE ~29
ENV. SITE MANAGER 24 HR CALL CENTER
BUSINESS PHONG ~u BUSINESS PHONE 130
(661) 327-6903 (877) 322-4722
24-HOUR Pf-IONG 12~ 24-FIOUR PHONE ~3~
(800) 566-9347 (800) 566-9347
PAGER # ~~~ PAGER # 132
(661) 721-4747
ADDITIONAL LOCALLY COLLECTED INFORMATION: 133
15-027-002400-SU B MITTED30-DEC EM B ER-OB
Certification: Bascd on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that I have personally examined and
am Pamiliar with thc information submitted and believe the information is truc, accurate, and complete.
SIGNATURE OF OWNGWOPBK OR DBSIG ED REPRESEN"PATIVE DATE i34 NAMEOF DOCUMENT PREPARER i35
12/30/2008 STEPHEN LOCKERT
NAMB OF $IGNER (pnnp
i36
TITLE OF SIGNER
~3~
STEVE SKANDERSON SR. PROJECT MANAGER
UPCF ( 1/99 revised) OES FORM 2730 (1/99)