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Rlffl"! <br /> San Joaquin County FEB 2 7 2006 <br /> Environmental Health Department ENVIRONMENT HEALTH <br /> 304 E. Weber Avenue, Third Floor PERMIT/SERVICES <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE 'NAME: �1 ✓r✓-��o <br /> ADDRESS: cy <br /> Complete #1 if there are multiple site landowners. <br /> oniplete#2-fiyo-u-are-thie-sole--siteiandowrrer. <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 /> certify.that the following is a <br /> complete list of current record fee.title ovyners and their mailir�gad�dresses for the <br /> above site: 'T . <br /> 2. In.accordance with Section 25297.15(x) of.Chapter.6.7.of.the. Health & Safety.Code: f <br /> Name of Responsible Party:. <br /> certify. I am the sole title owner for the <br /> above.site. <br /> Sincerely <br /> Signature <br /> f <br />