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San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: i 1Nlj <br /> ,:omplete#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, P(ua5� ,— �tdgLd)d 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 /> 24-frxI2 S4o. a W eVai{n�t�; rt4 �jI �s; <br /> h}- �AW)ily lYV1Sfi 24vi7- 5rvvii Wo* Ln Vcile✓v, tdt, cR 9135 <br /> 2. In accordance with Section 25297.15(x) of Chapter 6.7 of the Health c? Safety Code: <br /> Name of Responsible Party: <br /> I, Yn.���t ILU o✓I , L f C' Qr1-�"j-KO certify I am the sole landowner for the I �} <br /> above site. <br /> Sincerely, I <br /> Signaf lre Da e <br /> Revised 12/15/09 <br />