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San .Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> j Subject: CERTIFIED LIS*f OF RECORD FEC TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: 13c Sc7ui><} W]1�o�J �Ay, ro~ � <br /> Complete #1 if there are multiple site landowners_ <br /> Comptete#2 if you are the sole site landowner. . <br /> 1. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health Q.Safety Code: <br /> Name of Primary or'Active Responsible Paily: <br /> t wQ AND � S _ _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 /> 1 <br /> �{8T A01_P1NbP, iNC.,_k3(� EuTH v,fIL�o4 vIki, QST-acXTo�� <br /> i <br /> I , 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health Safety Code: <br /> Name of FRespnwsibl¢ Vart:y: <br /> 1. certify I am the?sole landowner for the <br /> above site, <br /> Sinceroly, <br /> Dig[taliy vgned by David Evans <br /> DN:cn-D"EVOM,O,OU, <br /> PPP David Evans email=dMd.evan @.,c&-us.com,c."S <br /> Date.2012.02.1510830 08'00' <br /> Sinnakiro Date <br /> Rr.�-isrtl 1'.'I S'[l�t <br />