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 #:
lpreece@bakersfieldfire.us; mwmoore@bakersfieldfire.us;
parmagost@bakersfieldfire.us
CGRS, Inc.
Sergio L. Nunez/#06-1727
Kern
Bakersfield FD
9618 Panama Lane , Bakersfield, CA 93311
unknown
10609 Painter Ave., Santa Fe Springs, CA 90670
Petro Builders Inc.
7-Eleven #41745
Bonnie Tamkin
562-946-2285 Ext. 125/bonnie@petrobuilders.com
Site Information
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."