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W.,Z�CGRS <br />w, <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 />3eneral Contractor Information <br />:ompany Name/CA Contractor License #: Walton Engineering <br />:ontact: Rick Walton <br />#ddress: PO Box 1025, West Sacramento, CA 95691 <br />elephone/Email: 916-372-1888/r.walton@waltonengineering.com <br />Site Information <br />Site Name: <br />Edgewood <br />Address: <br />4600 S. Carrel Hallow Road, Tracy, CA 95377 <br />Telephone: <br />unknown <br />County: <br />San Joaquin <br />CUPA Contact: <br />San Joaquin County Environmental Health <br />CUPA Email: ust@sjgov.org <br />esting Company Information <br />dame: CGRS, Inc. <br />echnician Assigned/License #: Sergio L. Nunez/#06-1727 <br />Signature <br />General Contractor's Signature: <br />Name (print): �E' 16"4 <br />Title: <br />�, �-, - /V, 6 �- <br />Date of Signature <br />5444 Dry Creek Rd. Sacramento, CA 950 T 916-991.1100 F 916-991.1177 www.cgrs.com <br />