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Q-0/02/2010 09:32 2094548709 FRANK J RAUZI PAGE 02!02 <br /> iuI i714V J.0 AVa i�: LAA 6U "is 54(C 9HD <br /> t�J00:.l9p� <br /> Rw V <br /> OCT 2 0 2010 <br /> San Joaquin County s, j0P,QUNcaut4N <br /> Environmental Health Department E���dIr9�Tr"+ Eyrl`�' <br /> 600 E. Main Street HEA-JH DEPAFR e ENT <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: �� sio <br /> ADDRE=SS: ?. <br /> Complete #1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> I. 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 list of current record title ovMers and their mailing addresses for the <br /> above site: j <br /> a t a g , l nS S i: 1� �� S`r c�`�( E C A 4 s2a <br /> r — r ! <br /> 2. In accordance W%, Secin 25297. 5(a)of Chapter 6 of the ealth &Safety Code: <br /> Name of Responsible Party: <br /> I, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> I <br /> Signature Date <br /> Revised 12/15/09 <br /> 1 <br /> i <br /> I <br />