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San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stocldon, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: FoRmeK UNOCAL- mbilb;?/ CIdEVp-oN SITE to 30[0415 <br /> ADDRESS: g3a- E=m1+v62 Aver srrzk�orJ Ca <br /> Complete At if there are multiple site landowners. <br /> Complete 42 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 /> BRIRN bJ AlTF7 ON %F-R4LF OP CHEV"yJ <br /> I. wvtcertify that the following Is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> WIR, NA\rt .j PATEL <br /> 5'!11n ST_. ANn2Ews p{t . <br /> ST°cktyN�_ A .95219 <br /> 2, In accordance with Section 25297.15(a)of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Parity: <br /> certify I am the sole landowner for the <br /> above site. <br /> slnoorely, <br /> • • Digitally signed by Brian 0.Waite <br /> Brian A. Waite w=MarBdan Business <br /> ChevronEBlmnmentalManagement—USomPany, <br /> ou=Marketing Business Unit,email=BWaite@chevron.wm,r—U5 <br /> Date:2013.05.0712:35:49-0T00' <br /> �iIII I+1lIP _ _� Uaie <br />