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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 RE'C ORD FEE TITLE OWNERS FOR: I <br /> .�iTGE t � Jsc L3 ►nxn 1r1c a <br /> NAME: <br /> ADDRESS � c calx- E rx:�-, 1tu.c� AS3C?C( <br /> Complete#1 if there are multiple site; landowners. <br /> Complete 92 if you are the sole site landowner. <br /> E 1. in accordance with Section 25297.15(a)of Chapter 6.7 of the Health&Safety Code: j <br /> Name of Primary or Active Responsible Party; <br /> i <br /> I, _ certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> i 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 <br /> certify i am the sole landowger for the <br /> above site. <br /> Sincerely, <br /> P <br /> Signature Date -- - <br /> U/ter �,O CO <br /> Revised .2!'l5!09 <br />