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COMPLIANCE INFO_2016 - 2018
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PR0518288
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COMPLIANCE INFO_2016 - 2018
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Entry Properties
Last modified
8/28/2023 9:08:35 AM
Creation date
11/8/2018 10:21:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\G\GRANT LINE\3250\PR0518288\COMPLIANCE INFO 2016 - PRESENT.pdf
Tags
EHD - Public
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COSTC01 <br /> IMMESALE <br /> November 14, 2017 APR 02 201d <br /> RE; Agent Authorization for Barghausen Consulting Engineers, Inc. EN V,RfJi1,fVIENT'gL <br /> Costco Gasoline/Fuel Operations— Regulatory Compliance rsrtPT�9 �1 i <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) 313-8.100 with any questions on this matter <br /> Respectfully, <br /> Tim Hurlocker <br /> Director of 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 -; s 1, i r t i � ,_ r_- : 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 /> (Signature) <br /> 1 MANDIE_YN JACKSON <br /> , <br /> Notary Public <br /> State of Washington <br /> ( My Appointment Expires <br /> Printed Name) (Seal) <br /> Jan 14,202) <br /> NOTARY PUBLIC in and for the State of Washington residing at.Li,:, <br /> My commission expires'. l tt.c : L I <br /> 999 take Drive • Issaquoh, WA 98027 0 425/313-8100 * Fox 425/427-7133 • www.costco.com <br />
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