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F <br /> r � <br /> I <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> Former USA Service Station No. 110 <br /> SITE NAME: -- <br /> ADDRESS: 2132 East Mariposa Road, Stockton, CA <br /> Complete#1 if there are multiple 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 /> 1 " 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 /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: Responsible Party for the <br /> I. M ,10 r t Ue�� p�} ty+n�, certify I am the sole Far downer for the <br /> above site. <br /> Sincerely, <br /> 2Date <br /> Signature <br />