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COMPLIANCE INFO_2022
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
2/14/2023 1:37:53 PM
Creation date
1/6/2022 9:06:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0518288
PE
2351
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
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SJGOV\kblackwell
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EHD - Public
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BARGUAUSEN <br /> October 31 , 2022 <br /> Stacy Rivera <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue <br /> Stockton , CA 95205 <br /> RE : Letter of Authorization <br /> Costco Gasoline — Like-for-Like Drop Tube Replacement <br /> 3250 West Grant Line Road , Tracy, California 95377 <br /> Costco Loc. No . 658 / Our Job No . 10050 (6213 . 5 ) <br /> Dear Stacy : <br /> As Authorized Agent of Costco Wholesale Corporation , on matters pertaining to the regulatory compliance <br /> of Costco Gasoline facilities , Barghausen Consulting Engineers , Inc. authorized Jones Covey Group , Inc. , <br /> and their designated employees to complete the like-for-like replacement of the Defender Series Drop Tube <br /> located within the 87B (Tank 2 ) fill sump . This replacement occurred on October 10 , 2022 . <br /> Should you have any questions on this matter, feel free to call me at (425 ) 251 -6222 . <br /> Respectfully , <br /> Jay S . Grubb <br /> Principal / Vice President <br /> Authorized Agent for Costco Wholesale <br /> MAI/CEB/jc <br /> 10050c . 109 <br /> NOTARY <br /> On this 31st day of October, 2022 , before me , the undersigned , a Notary Public in and for the State of <br /> Washington , duly commissioned and sworn personally appeared c \otbb known to me to be <br /> the duly authorized representative of Costco Wholesale , the corpor tion that executed the foregoing <br /> instrument, and acknowledged said instrument to be the free and voluntary act and deed of said <br /> corporation , for the purposes therein mentioned , and on oath stated that he was authorized to execute said <br /> instrument . WITNESS my hand and official seal hereto affixed the day and year in the certificate above <br /> written <br /> ( Signa re) <br /> ( Printed Name ) `````�OA ` �N�� ',►// <br /> NOTARY PUBLIC in and for the <br /> State of Washington residing at <br /> My commission expires : C5 ` g�'I I DCQE) s s U 21012943 <br /> 411, <br /> i F4��� . .. ..N'' G r <br /> I BARGHAUSEN CONSULTING ENGINEERS, INC. ''rl � ��11WASN`�.�� <br /> 1821572ND AVENUE SOUTH KENT, WA 98032 P) 425.257 .6222 F) 425.251.8782 <br /> BRANCH OFFICES: CHEHALIS , WA KLAMATH FALLS, OR LONG BEACH , CA RICHLAND, WA ROSEVILLE, CA <br /> barghausen .com <br /> i <br />
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