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CGRS <br />i <br />SOLLJT10N5 DELIVERED <br />GENERAL CONTRACTOR STATEMENT <br />Effective 05/26/15, the State Water Resources Control Board now requires a signed statement from all <br />general contractors prior to final ELD testing. <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 License #: LC Services <br />Contact: Larry Carpenter <br />Address: 3887 N. Valentine Rd., Fresno, CA 93722 <br />Telephone/Email: 559-444-1730/larrycarpenter@lcservices.com <br />Site Information <br />Site Name: 7 -Eleven #20632 <br />Address: 4627 De Vinci Dr., Stockton, CA 95207 <br />Telephone: unknown <br />County: San Joaquin <br />CU PA Contact: San Joaquin County Environmental Health <br />CUPA Phone/Email: ust@sjgov.org <br />'esting Company Information <br />lame: CGRS, Inc. <br />echnician Assigned/License #: Sergio L. Nunez/#06-1727 <br />Signature <br />General Cont <br />Name (print): <br />Title;t l- <br />5444 Dry Creek Rd. Sacramento, CA 95838 T 916.991-1100 F 916-991.1177 www,cgrs.com <br />