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T <br /> San.Joaquin County <br /> Environr ental Health department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST Of' RECORD FEE TITLE.OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: 61-0 <br /> Complete#1 if there are-multiple site landowners: <br /> Complete 9-2 it you are the sole site landowner. <br /> 1. In accordance with Section 25207.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party., <br /> 1, /4 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 25207.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Ware of Responsible:Party: <br /> I certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> , <br /> Signature Date <br />