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TERESI TEL :209-369-2830 Apr 06 '01 8 :50 No .007 P .02 <br /> 4 <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: <br /> ADDRESS: <br /> Complete #1 if there are mu;t!ple siie landowners. <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 /> certify that the following is a <br /> complete list of current record fee title _ ' <br /> owners and their mailing addresses for the <br /> above site <br /> Jog, <br /> i <br /> .k <br /> 2. In accordance with Section 25297.15(a) of Chapter 647 of the'Health &Safety Code: <br /> Name of Responsible Party: <br /> certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> r <br /> Signature <br /> E <br /> k <br /> f <br /> r <br /> - r <br />