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San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF-RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: G t TX G F' 171 c y G0r� L�7lj��12 l: !�i/L'1Fn1 T-PL.4"d.T <br /> ADDRESS: L?U G L L y DP—,ye <br /> Complete #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, 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 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: _4 s <br /> cz <br /> 1,~ -�;4t11- pzP4 certify-iii the sole landowner for-the <br /> above site. <br /> Sincerely, <br /> l ( � <br /> 2 20/� <br /> Signature Date <br /> Revised 12/15/09 <br />