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it .I <br /> i1 <br /> San Joaquin County <br /> Environmental Health Department <br /> 304 E. Weber Avenue, Third I<loor <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: <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(x) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> I, certify I am the sole title owner for the <br /> above site. <br /> Sincerely, ' <br /> Signature <br /> 'i <br />