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COMPLIANCE INFO_2022
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/30/2022 8:16:02 AM
Creation date
3/3/2022 10:24:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
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
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SJGOV\kblackwell
Tags
EHD - Public
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C05rco <br /> F <br /> RE: Agent Authorization for Barghausen Consulting Engineers, Inc, <br /> Costco Gasoline/Fuel Operations—Regulatory Compliance <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,and <br /> 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 /> Please call me at(425)313-8100 with any questions on this m er. <br /> Res ctfully, <br /> r <br /> Dwight Larsen <br /> Director of Operations <br /> NOTARY <br /> I q lh <br /> On this day of April, 2422 before me, the undersigned, a Notary P blit in and for the State of <br /> Washington, duly commissioned and sworn personally appeared D LCC j L tI rsen known to me <br /> to be the duly authorized representative of Costco Wholesale, the corporation 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 /> ►����,rpN ME q t t+��i/. <br /> (Signature) Q:�.. k„{ 0 <br /> Sf e hors r A . C rrcr f °' ��T '•• ia� <br /> (Printed Name) s 20 83 a 5 S <br /> 11111OF WAST\\ <br /> {Seal} <br /> NOTARY PUBLIC in and for the State of Washington residing at K w CO- <br /> My <br /> O-My commission expires: e2 — / 9-2 3 <br /> 999 Lake Drive • Issaquah, WA 98027 • 4251313-8 100 • Fox 4251427-7133 0 www,costco.com <br />
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