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� v <br /> vn� <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: ^J. 8;,J 7_rEzS-�C F 7? v'0./ <br /> Complete1 if there are multiple site landowners. �Sa <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 /> I, C_H 0(1 /-J E (_04 0 1-J G 0 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 /> C- A' W/r L I- <br /> )001 <br /> )Oo1 J,-,J IJ ri s.-rte#_= E -r1 s.1, FC-- 300 <br /> s ot..l r-4A-Mc S 9`tea3 <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of'the Health & Safety Code: <br /> Name of Responsible Party: <br /> I, ^certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Date <br /> Signature <br />