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V <br /> r V > , <br /> San Joaquin County. <br /> Environmental Health Department: <br /> _ 600 E. Main Street <br /> Stockton, CA 95202 <br /> a <br /> Subject: 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 /> , <br /> u 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 Gist of current record fee title owners and their retailing addresses for the <br /> above site: <br /> f <br /> 2. in accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> 1 �- �', _ ��lo}TsauQ[ C¢.��els L<<certify I am the sole landowner for the <br /> ab4Ve 51tB. d�-f��a�F►yk�S <br /> Sincerely, <br /> 7 7- <br /> Date <br /> Revised 12/15I09 <br />