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CGRS <br /> SOLUTIONS DELIVERED <br /> GENERAL CONTRACTOR STATEMENT <br /> Effective 05/26/15,the State Water Resources Control Board requires that the signed general <br /> contractor's statement be received from all general contractors prior to formal notification of final <br /> ELD testing (NO EXCEPTIONS). <br /> By signing below,the general contractor acknowledges that: <br /> "No further ground penetrating work,including beautification requirements,atop or immediately <br /> adjacent to,the UST system are needed or will be performed after ELD testing is performed." <br /> General Contractor Information <br /> Company Name/CA Contractor License#: Town&Country Contractors <br /> Contact: Eric Thomas <br /> Address: 3181 Luyung Dr.#A, Rancho Cordova, CA 95742 <br /> Telephone/Email: 916-636 9500/support@tccontractors.com <br /> Site Information <br /> Site Name: Arco <br /> Address: 9036 Thornton Rd,Stockton,CA 95209 <br /> Telephone: unknown <br /> County: San Joaquin <br /> CUPA Email: ust@sjgov.org <br /> Testing Company Information <br /> Name: CGRS, Inc. <br /> Technician Assigned/License M MaM Monteiano/#1775 <br /> Signature <br /> General Contractor's Signature: <br /> Name(print : _ <br /> Title; Date of Signature: �2-)6 �5 <br /> 5444 Dry Creek Rd. Sacramento,CA 95M T 916.991.1100 F 916.991-1177 www.cWs.com <br />