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A <br /> Jan. 29. 2013 MOM 4 <br /> San Joaquin County <br /> Envlronmenial Health Department <br /> 600 E.blain Street <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FSE TITLE OWNERS FOR. <br /> SITE NAME: F�mt=. i a?5f._62AEV2=QrJ q k c-c= 34) <br /> ADDRE=SS: ).W.5 PIS Ftp C_g <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> in accordance with Section 26297.15(a)of Chapter 6.7 of the Health&Safety Cade: <br /> Name of Primary or Active Responsible Party: <br /> I.-sic oha�n�2- �I Q-V-e"Y1 -c C certify that the following is a <br /> Comple a list of current record fee tifle owners and their mailing addresses for the <br /> above site: <br /> u S+ E <br /> ap TEl� moP 5 I-ES5—cL T"ST Q.d Tie 1}El,En1 X�SS UmcCP��Y rzv s� <br /> 7eus� �avEs �,�T 6e�kP Po eoX o I uoCLE-Tva5a-ot <br /> rip ti,�} ��+� i'�E E T , Cw ��- nl�►J Y��� /OU l q <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health&Safety Cade: <br /> Name of Responsible Party: <br /> Icertify i am the sole landowner for the <br /> above site. <br /> Sincerely <br /> sonaiure <br /> a � 1 � <br /> Sc-etiav k 2 Kc-Unvl—q ?fyd avl (� DDI <br /> Revised 12/15/09 -6r. NOAVz'M �o►� ��� �'��vr C (C tr v1 c� <br />