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- i <br /> r <br /> San Joaquin County Public Health Services <br /> Environmental Health Division <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202 <br /> RE: '' CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: M Alva AA TJVE <br /> ADDRESS: EAs . IUt CA. g53-71, , <br /> Complete #1 if there are multiple site landowners. �`�, <br /> Complete 42 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 /> 13 <br /> s� <br /> 2. In;accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> certify I am the sole landowner for the <br /> above site. <br /> Sinc <br /> igna ure <br /> i <br />