HomeMy WebLinkAboutGC StatementGeneral Contractor Information
Company Name/CA Contractor License #:
Contact:
Address:
Telephone/Email:
Site Name:
Address:
Telephone:
County:
CUPA Email:
Testing Company Information
Name:
Technician Assigned/License #:
Site Information
NEC H St & Taft Hwy, Bakersfield, CA unknown
unknown
3235 F St., San Diego, CA 92102
Western Pump
Love's #830
Daniel Miller
619-446-9016/dmiller@westernpump.com
CGRS, Inc.
Sergio L. Nunez/#06-1727
Kern
lpreece@bakersfieldfire.us; mwmoore@bakersfieldfire.us;
parmagost@bakersfieldfire.us
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."