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t <br /> RECEgVEDD <br /> MA 10 <br /> San Joaquin County E �,lIIU�r lvT <br /> I Environmental Health Department Pfflw/sER4/10ES HEALTH <br /> 600 E. Main Street <br /> Stockton, CA 95202_ <br /> Subject: CERTIFIED LIST OF RECORD IFEE TITLE OWNER'S FOR: <br /> SITENAME: - CAl-Al '.SK0i'{o Maku-ret3 n,PCE :F5TATcvr.� <br /> ADDRESS: 0 5Tp-gjt- Ca 9520 <br /> ' Complete #1 if there are multiple site landowners. <br /> t 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 /> 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 25297.15(a) of Chapter:6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> I, SLAe certify I amthe sole landowner for the <br /> above site. <br /> Sincerely, <br /> 3 23 2010 <br /> Signature Date <br /> Revised 12/15/09 <br /> i <br />