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COMPLIANCE INFO_2018
Environmental Health - Public
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PR0527629
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COMPLIANCE INFO_2018
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Entry Properties
Last modified
3/2/2023 2:42:44 PM
Creation date
7/28/2020 9:28:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0527629
PE
2351
FACILITY_ID
FA0018721
FACILITY_NAME
Costco Wholesale #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2440 DANIELS ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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C43S]rCO <br /> IVHMESA"E RECED <br /> November 14, 2017 <br /> RE: Agent Authorization for Barghausen Consulting Engineers, Inc. E1;►1iRONMENTAL <br /> Costco Gasoline/Fuel Operations—Regulatory Compliance ,; DARTIM E1\T <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)313-8100 with any questions on this matter. <br /> Respectfully, <br /> Tim Hurlocker <br /> Director of Fuel Quality and <br /> Compliance (6, ._ <br /> NOTARY <br /> On this I`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 "i _ �r 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) MANDILYN JACKSON <br /> Notary Public <br /> I ,� , ` r, S iState of Washington <br /> My Appointment Expires <br /> (Printed Name) (Seal) Jan 14,2021 <br /> NOTARY PUBLIC in and for the State of Washington residing at.k c SLA <br /> I <br /> My commission expires: 10 l',L\-c 1` <C <br /> 999 Lake Drive • Issaquah, WA 98027 • 425/313-8100 • Fox 425/427-7133 • www.coslco.com <br />
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