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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/hopevargas@lcservices.com <br />Site Information <br />Site Name: <br />CORS <br />Address: <br />4747 West Lane, Stockton, CA 95210 <br />Telephone: <br />SOLUTIONS 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/hopevargas@lcservices.com <br />Site Information <br />Site Name: <br />West Lane Chevron <br />Address: <br />4747 West Lane, Stockton, CA 95210 <br />Telephone: <br />unknown <br />County: <br />San Joaquin <br />CUPA Contact: <br />San Joaquin County Environmental Health <br />CUPA Phone/Email: <br />ust@sjgov.org <br />Testing Company Information <br />Name: CGRS, Inc. <br />Technician Assigned/License #: Sergio L. Nunez/#06-1727 <br />Signature <br />General Contractor's Signature: <br />Name (prijn't): <br />Title: (�-K ,-\\t1\u�V� <br />5444 Dry Creek Rd. Sacramento, CA 95838 T 916.991-1100 F 916.991.1177 www.cgrs.com <br />