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Jun 25 02 11 : 29a Caltrans 2099487782 p. 2 <br /> 20946.._,33 <br /> FIFTH FLOM � 3+ PAGE 02 <br /> San Joaquin County <br /> Environmental Health Department <br /> 3D4 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202 <br /> RE; CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: LO N r►.e,q-rn1��,q,,�0- Si�t7a4I <br /> ADDRESS, <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 Sections 25297.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> 1, 4 r YED �L l <br /> sole landowner for the alanve site, certify that the State of California is the <br /> Sincerely, <br /> Signature <br /> I <br /> i <br /> 1 <br />