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p <br /> I <br /> San Joaquin County <br /> Environmental Health Department <br /> 16600 Hazelton Ave <br /> Stockton, CA 952056232 <br /> Subject: CERT IFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS : <br /> Complete #'1 if there are multiple site landowners. <br /> Complete 92 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 Responsil)le 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 /> above site: <br /> i <br /> I <br /> I <br /> 2. In accordance with Section 25297. 15(a) of Chapter 6 .7 of the Health o Safety Code: <br /> Maine of Responsible Party: <br /> certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Signature Date <br />