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i <br /> I <br /> 3 <br /> San Joaquin County <br /> Environmental Health Department { <br /> 1868 E. Hazelton Avenue <br /> ` Stockton, CA 95205 <br /> Subject; CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: CURr'' 5MC--k Iu-14, VVU4 <br /> ADDRESS: 2 /� ct 'o S <br /> L <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> I. 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 /> above site: <br /> i <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health&Safety Code: <br /> Name of Responsible Party• c-c_,,��� L c C <br /> , 4 certify I am the sole landowner for the <br /> aba a site. <br /> Sincerely, <br /> A//Y <br /> Signaf re date <br /> Revised 12/15/09 <br /> 1 <br />