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���� i'l I•,r nl—�� 1 <br /> JUL 2007 <br /> ENVj! 0Nf0rNT HEAL-H <br /> San Joaquin County PLC_Rmii '1Sr= irl <br /> Environmental Health Department <br /> 600 E. 'Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: <br /> f <br /> Complete #1 if there are multiple site landowners. P <br /> Complee #2 if you are n--Ls--bdt;fte-lar%—.Iowrfer.:. <br /> 1. In accordance with'Section 25297.15(x) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or-Active Responsible Party: <br /> I, Do V-\a A A 9i V-vrA 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 /> S3-7 9-z-) r.J 2S . <br /> -t . <br /> 2. In accordance with Section 25297.15(a) of'Chapter 6.7 of the Health & Safety Code: <br /> Name of. Responsible Party: <br /> I, I` certify I am the sole title owner forthe <br /> above site. <br /> Since y, <br /> ignature <br />