My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2023
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
G
>
GRANT LINE
>
3250
>
2300 - Underground Storage Tank Program
>
PR0518288
>
COMPLIANCE INFO_2023
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/17/2025 2:44:35 PM
Creation date
1/13/2023 9:39:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0518288
PE
2351 - UST FACILITY - 2481 COMPLIANT
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
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
3250 W GRANT LINE RD TRACY 95377
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
1115
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
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 I 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 /> ��110 <br /> ge <br /> Jay S. Grubb <br /> Principal l Vice President <br /> Authorized Agent for Costco Wholesale <br /> MAIICEBIjc <br /> 100500.109 <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 known to me to be <br /> the duly authorized representative of Costco Wholesale, the torportion 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 /> (Sign re) [ t-- <br /> (Printed <br /> ..-(Printed Name) tom`■�l��! 1t1�111 <br /> NOTARY PUBLIC in and for the �Z <br /> "���,,�� <br /> State of Washington residing at `in�w.c��w, v�l� �� i <br /> o *°T'�'4� ,% r <br /> S x v 21012943 H' <br /> My commission expires: C3 o `DS <br /> a <br /> XX <br /> SARGHAUSEN CONSULTING ENGINEERS,INC. <br /> 18215 72ND AVENUE SOUTH KENT,WA 98032 Pj 425.251.62ZZ F)425-251-8782 <br /> BRANCH OFFICES: CHEHALIS,WA KLAMATH FALLS,OP LONG BEACH,CA RICHLAND,WA ROSEVILLE,CA <br /> barghausen.com <br />
The URL can be used to link to this page
Your browser does not support the video tag.