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COMPLIANCE INFO_2016-2018
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PR0518624
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COMPLIANCE INFO_2016-2018
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Entry Properties
Last modified
3/11/2021 11:13:49 AM
Creation date
11/5/2018 11:20:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2018
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1630\PR0518624\COMPLIANCE INFO 2016-PRESENT .PDF
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EHD - Public
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CADSTCO RECEIVED <br /> November 14, 2017 <br /> RE: Agent Authorization for Barghausen Consulting Engineers, Inc. ENVIRONMENTAL <br /> Costco Gasoline/Fuel Operations—Regulatory Compliance " 1 i'04RTMENT <br /> To Whom It May Concern: <br /> Costco Wholesale Corporation (Costco) hereby authorizes Barghausen Consulting Engineers, Inc. <br /> (Barghausen) and its designated personnel under its employment to act on behalf of Costco as its <br /> Authorized Agent on all matters pertaining to regulatory compliance for the operation of all retail <br /> gasoline/fueling facilities owned and operated by Costco in the United States. <br /> Costco and Barghausen have entered into a Service Agreement that establishes the terms, conditions. <br /> and scope of services of this Agent Authorization granted to Barghausen. With this Agent Authorization, <br /> Barghausen is granted signatory authority on all regulatory compliance materials and documentation. <br /> Costco further authorizes that all future regulatory compliance correspondence, notifications, and <br /> documentation be forwarded to the following address for further handling. <br /> Costco Wholesale <br /> c/o Barghausen Consulting Engineers, Inc. <br /> 18215 72nd Avenue South <br /> Kent,WA 98032 <br /> Email:costco@barghausen.com <br /> Under separate notification, Barghausen will request that all applicable jurisdictional agencies update <br /> their records to forward all notification as noted above. <br /> Please call me at(425)313-8100 with any questions on this matter. <br /> Respectfully, <br /> Tim Hurlo <br /> Director off Fuel Quality and <br /> Compliance <br /> NOTARY <br /> On this I day of November, 2017, before me, the undersigned, a Notary Public in and for the State <br /> of Washington, duly commissioned and sworn personally appeared 'T,n1 MI6,(1 C t kr - known to <br /> me to be the duly authorized representative of Costco Wholesale, the corporation that executed the <br /> foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of <br /> said corporation, for the purposes therein mentioned, and on oath stated that he was authorized to <br /> execute said instrument. WITNESS my hand and official seal hereto affixed the day and year in the <br /> certificate above written. <br /> n. <br /> (Signature) / ) MANDILYN JACKSON <br /> Notary Public <br /> a to U 11 State of Washington <br /> (Printed Name) (Seal) My Appointment Expires <br /> Jan 14,2021 <br /> NOTARY PUBLIC in and for the State of Washington residing at ( u w. <br /> My commission expires: G{ I1 tt.p t w I 2-t- I <br /> 999 Lake Drive • Issaquah, WA 98027 • 425/313-8100 • Fox 425/427-7133 • www.costco.com <br />
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