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I <br /> MAY 21 2009 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> Sari Joaquin County <br /> Environmental Health Department w <br /> 600 E.-Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: ��� (q33 <br /> SITE NAME: C-&--, Huvflem — O'ox 4' Cox aro4grs <br /> ADDRESS: 545 E. I1'+h TIA.Gyj CcL GG3-7 <br /> Complete #1 if there�are,multiple site landowners <br /> _ <br /> _--Complete #2 if`you are"tiie 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 /> I <br /> 1 <br /> I <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> 1, FAVI Q.'B1i44e1n rLrUs+ee * certify I am the sole title owner for the <br /> above site. <br /> Sincerely, <br /> i <br /> /� s/i8/2oog <br /> Signature <br /> Lee j,}�P- held by <br /> &-c1 i2. are, e,rt avtd Carole A . -ret s4i i I <br /> eeS FAM,Iy <br /> d4ed 3o, Iag4_ <br />