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nE <br /> 06 ` 2 5 2004 <br /> ENVIRONi 'SERVICES H <br /> San Joaquin County PERI�I;�ISE <br /> Environmental Health Department <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWN RS FOR: <br /> SITE NAME: ulyl / 1XI Qf� Vft-16 C' <br /> ADDRESS: Jon V-)of iVo O-10, <br /> Complete #1 if there are multiple site landowners. + /���� I �D afJ ' <br />'�`" �- _______- 'Com ete 2Tifi"ou ar=e"t -e sole-site andowner. ply, / - <br /> p <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: �q�-� gs <br /> Name of Primary or.Active Responsible Party: �-' 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 /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> 1,AlOuevu lL'�\f -or- 7�k, 1 kP vicertify I am the sole landowner for the <br /> above site. LL jiv GzYqb��O <br /> Sincerely, T <br /> Signatur �N �� <br /> r <br />