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{ <br /> San Joaquin Couriky;, <br /> '..Eiivironrrreiita! Health C]epaitriient <br /> 600E Main Street• r <br /> Stocictor7,; CA 95202° <br /> iF. <br /> Sutifeck °'CERTIFiED'LIST O•r.RCCgRD,FEE TITLC OWNERS,I'UR <br /> 'Navarra Property, <br /> -SITE NAME <br /> ADDRESS: l..7500_W 1 h'St Tracy ;CA, ,95304-9305 <br /> nt . ;• <br /> Complete#1rf there are multiple Site,landowners <br /> Compleie#2 if you arekhe sole'sfte.landowner`. <br /> y . <br /> In accordance with Sectrori 2 297. i 5(a}of dhatiterl&f.of the l-Iealth'& Safety Code; <br /> '. Laine of Prima v,or Ac rve #responsible Party: , <br /> certify-tha{the fnlEowing is.a' <br /> ;. :complete list of cogent record,fee`trtl6 owner5•ai d iheir:rnailrri'g addresses far the <br /> aboVP sake: j <br /> $ '�2 ,In accoa darice with Section 25297 t 5(a)of Chapter 6 7 of'the health& S Code: <br /> � aName of Responsil�le�Party � '4 .. ' ' , <br /> ' NAVARRA'FAMILY LLC - <br /> { r 1, ceF fy,I ani thb'sole landowner-for the <br /> above "site. . '. <br /> fi . <br /> _Signatbre Car{B, Navarra, Partner Date - i <br /> f <br />