HomeMy WebLinkAboutGC StatementGeneral Contractor Information
Company Name/CA Contractor License #:
Contact:
Address:
Telephone/Email:
Site Name:
Address:
Telephone:
County:
CUPA Contact:
CUPA Email:
Testing Company Information
Name:
Technician Assigned/License #:
Site Information
1901 White Ln Bakersfield, Bakersfield, CA 93304
unknown
630 South Frontage Rd., Nipomo, CA 93444
B&T Service Station Contractors
Bakersfield Foods Co
Les Henderson
805-431-8839/les@btssc.com
hazmatprogram@co.kern.ca.us; laurelf@kerncounty.com
CGRS, Inc.
Sergio L. Nunez/#06-1727
Kern
Kern County Environmental Health & Laurel Funk
GENERAL CONTRACTOR STATEMENT
Effective 05/26/15, the State Water Resources Control Board requires that the signed general
contractor's statement be received from all general contractors prior to formal notification of final
ELD testing (NO EXCEPTIONS).
By signing below, the general contractor acknowledges that:
Signature
General Contractor’s Signature: ________________________________________________
Name (print): _______________________________________________________________
Title: __________________________ Date of Signature: ____________________
"No further ground penetrating work, including beautification requirements, atop or immediately
adjacent to, the UST system are needed or will be performed after ELD testing is performed."
CHRISTOPHER G. FASSE
PRESIDENT 10/03/23