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Verisk 3E Corporate Headquarters P: + 1 . 760 .602. 8700 3207 Grey Hawk Court W: Verisk3E. com . Ve r 1 s k 3 E Carlsbad , CA 92010 USA May 12 , 2020 San Joaquin Co . Environmental Health 1868 East Hazelton Avenue Stockton , CA 95205 To Whom It May Concern : Re : Costco Wholesale # 179 - 25501 S Gateway Blvd . , Bldg A , Tracy , CA 95 CAR000269944 In accordance with 40 CFR 262 . 16(8) (vi ) , the above Costco Wholesale facility is attempting to make emergency response arrangements with your agency in the unlikely event of a fire , explosion , or uncontrolled release of hazardous waste . Details about the hazardous materials and hazardous waste at this Costco Wholesale location are identified in the Aid Notification Letter included with this document. Title 40 of the United States Code of Federal Regulations §262 . 16(8)(vi )(3) ( B ) requires that Costco Wholesale facility record any decline of this request for support and possible response in the unlikely event of a fire , explosion , or uncontrolled release of hazardous waste. If your agency wishes to formally decline support and/or emergency response in the unlikely event of a fire , explosion , or uncontrolled release of hazardous waste at the above referenced Costco Wholesale location , please state your reasoning as to why you are declining support, and sign , date , and mail this letter to Verisk 3E at the following address: Verisk 3E, Regulatory Compliance Services — Costco Wholesale # 179 Attn: Aid Notification Arrangements Declined 3207 Grey Hawk Court, Suite 200 Carlsbad, CA 92010-6664 PLEASE NOTE : THIS LETTER NEEDS TO BE SIGNED & RETURNED ONLY IF YOUR AGENCY IS DECLINING TO PROVIDE SUPPORT OR INFORM US OF INACCURATE JURISDICTIONAL ASSIGNMENT Reason (s) for declining to support and/or respond: ( Print Name and Title) (Signature) ( Date)