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Y <br /> 2 <br /> 4-4 �0, <br /> �� � � 3 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> I <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> ADDRESS: Sj, C 1cv� <br /> Complete#f1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> I, certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> 2. In accordance with Section 25297. 5 a of Chapter 6.7 of the Health& Safety Code: - <br /> Name of Respdnsible Party- UB2 _rA)C. <br /> I, ertify I am the sole landowner for the <br /> above dite. <br /> Sincerely, <br /> /a /j <br /> Signature Date <br /> i <br />