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•CGRS <br />SOLUTIONS DEUV A <br />E ED <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: Sean Murphy <br />4ddress: 3181 Luyung Dr. #A, Rancho Cordova, CA 95742 <br />relephone/Email: 916-636-9500/sean@tccontractors.com <br />Site Information <br />Site Name: <br />Arco AM/PM <br />Address: <br />4607 S. Airport Way, Stockton, CA 95206 <br />Telephone: <br />unknown <br />County: <br />Stockton <br />CUPA Email: ust@sjgov.org <br />Testing Company Information <br />Name; CGRS, Inc. <br />Technician Assigned/License #: Sergio Nunez/#06-1727 <br />Signature / <br />/J <br />General Contractor's Signature: <br />U <br />Name (print): Mark Farmer <br />Title: PM <br />Date of Signature: 4/3/2025 <br />5444 Dry Creek Rd. Sacramento, CA 950 T 916-991-1100 F 916-991-1177 www.cgrs.com <br />