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r � LpU9 <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED I-I OF . CORD FEE TITLE O1NNE FOR: <br /> SITE NAME- <br /> ADDRESS: <br /> f <br /> .- �. <br /> -#1 if there are rriuitipie 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 /> a • <br /> t Icertify 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 /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health.& Safety Code: <br /> ;- ...rte. .�...�;,.Mame of=R' —git le Party: Ycr <br /> certify I am the sole title owner for the - <br /> ab ve site. <br /> Sincerel , <br /> r <br /> Kgnature <br /> i <br /> r <br />