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d <br />San Joaquin County <br />Environmental Health Department <br />600 E. Main Street <br />Stockton, CA 95202 <br />Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br />'G�}G2/N*�S %3%�lGf 16 Ccr h O/Jv �r� I ^rC <br />SITE NAME: <br />ADDRESS: 5) �'. Z"?ZeVaz-T. wl-L, <br />Complete #1 if there are multiple site landowners. <br />Complete #2 if you are the sole site landowner. <br />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. certify that the following is a <br />complete list of current record fee title owners and their mailing addresses for the <br />rt above site: <br />I <br />Lel <br />2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code:. <br />Name of Responsible Party: <br />6. <br />} Qkv aclptL t certify I am the sole landowner for the <br />�I above site. <br />Sincerely. <br />1 _4*-*'� _WDa <br />!Z <br />Signalure _ <br />Rcviscd 1215109 <br />M <br />