Laserfiche WebLink
rrW� <br />128 CGRS <br />IS7 SOLUTIONS OELEVEReO <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 />.ompany Name/CA Contractor License #: LC Services <br />;ontact: Larry Carpenter <br />lddress: 3887 N. Valentine Rd., Fresno, CA 93722 <br />.elephone/Email: 559-444-1730/hopevargas@lcservices.com <br />Site Information <br />Site Name: Arch Rd Travel Plaza <br />Address: 4850 S. 99/E. Frontage Rd., Stockton, CA 95215 <br />Telephone: unknown <br />County: San Joaquin <br />CUPA Contact: San Joaquin County Environmental Health <br />Email: <br />resting Company information <br />flame: CGRS, Inc. <br />.echnician Assigned/License #: Sergio L. Nunez/#06-1727 <br />Signature <br />General Contractor's <br />Name (print): <br />Title: <br />Date of Signature: <br />MU Dry Creels Rd. Sacramento, CA 95M T916 -INT -1100 f 996-991-1111 www.egrs.com <br />