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E <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: _gA's Mu er- !_� i e o rrr ;Si lc 1�L�e f13 <br /> ADDRESS: 9.537b <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 If you are the sale site landowner_ <br /> t. In accordance with Section 25297.15(x)of Chapter 6.7 of the Health&Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> i / (� l"• Certifythat the following is a <br /> complete at of airr record tae title owners and their mailing addresses for the <br /> above site: <br /> �Lte � R �rcifs�'ecrt canr� Cern e <br /> / } t <br /> LC113ds c r tl 0,'V tstp La.:!2 �L i✓r Ti ts' <br /> 1 <br /> 2. accordan - with Sects 5297.15(a) pter 8.7 of ealth& Coda: <br /> Na a of Re naiblo Party. <br /> h ce amt a owtrer <br /> above site. <br /> Sincerely <br /> Adl <br /> Signature . <br /> 4 <br /> I <br />