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COMPLIANCE INFO_2019
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/17/2020 4:24:16 PM
Creation date
7/15/2020 9:26:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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i <br /> Coss S"09 <br /> I <br /> RECEIVED <br /> November 14 , 2017 JUN 14 2019 <br /> RE : Agent Authorization for Barghausen Consulting Engineers , Inc. <br /> Costco Gasoline/Fuel Operations — Regulatory Compliance ENVIRONMENTAL HEAU111 <br /> To Whom It May Concern : <br /> UENARTNIENT <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 /> s <br /> Tim Hurlocker <br /> Director of Fuel Quality and <br /> Compliance <br /> NOTARY <br /> On this 14 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 Tf i/1A i SGL 0 C kC v 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 /> SI nature EMyAppointment <br /> ( g ) � N JACKSON <br /> nq (( y Public <br /> G VAGI 1 t IrN 6'0 6 !� S 0 r \. ashington <br /> ( Printed Name) ( Seal ) Expires <br /> 4, 2021 <br /> NOTARY PUBLIC in and for the State of Washington residing at I K4L bow, J <br /> My commission expires : 4 Z t)ZI <br /> 999 Lake Drive • Issaquah, WA 98027 • 425/313-8100 Fax 425/427-7133 www. costco. com <br /> I <br /> i <br />
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