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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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3250
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO_2023
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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
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cosyco <br /> � a aF <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 matter. <br /> Res ctfully,� <br /> �f�"yrf , <br /> Dwight Larsen <br /> Director of Operations <br /> NOTARY <br /> On this day of April, 2022 before me, the undersigned, a Notary P blic in and for the State of <br /> Washington, duly commissioned and sworn personally appeared P t_C'1 1}1 L.0 r sill known to me <br /> to be the duly authorized representative of Coslco Wholesale, the corporation that executed the foregoing <br /> instrument, and acknowledged said instrument to be the free and votuntary 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 /> NpNIE tri <br /> (Signature) <br /> (Printed Name) 209083 <br /> [Seal} <br /> NOTARY PUBLIC in and for the State of Washington residing at r/Oct CC' <br /> My commission expires: F; -- 1 9-2 - > <br /> 999 LcAe Drive ■ lssocluch. WA 98027 • 42.51313-8100 • Fax 425/427-7 i33 www.costco.com <br />
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