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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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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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[i] BARGNAUSEN <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 J Vice President <br />Authorized Agent for Costco Wholesale <br />MAIICEBljc <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 tD be <br />the duly authorized representative of Costco Wholesale, the corp& 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. WETNESS my (land and official seal hereto affixed the day and year in the certificate above <br />(Sign re) <br />qr j <br />- <br />(Printed !Name) <br />�`��4rti�gl111i4+� <br />ID <br />NOTARY PUBLIC in and for the <br />ri�w.ct����, � � <br />State of Washington residing at�gS+ti <br />= $� �SVON <br />f Y r <br />c <br />My commission expires: _C5 gr f I_dC3S <br />"'s, 21012 43 v+" <br />y <br />"III+Op WAS'+',"'tiz <br />li <br />BARGHAUSEN CONSULTING ENGINEERS, INC. <br />1821572ND AVENUE SOUTH KENT, WA 98032 PJ 425,251.6222 Fj 425.251.8762 <br />BRANCH OFFICES: CHEHAL 15, WA KLAMATH FALLS, OP LONG 8FACH, CA PIC HLAN D, WA POSEVI LLE, CA <br />barghausen.com <br />
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