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San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: .16 C 57- C h ero to e 1?,om(O <br /> ADDRESS: p 4 177- 0 L(M-0 Qe Aace <br /> Complete#1 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, C t)[ G9. 1, C (0 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 /> c -A C c) <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> f0.t U.t 1%,0 a `facAco✓� C U . <br /> I, n certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> 1 <br /> 3 <br /> Signature Date i <br /> Revised 12/15/09 <br /> 1 <br />