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f I <br /> C � <br /> San Joaquin County <br /> Environmental :Health Department }` <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR:. <br /> .:..SITE NAME: <br /> ADDRESS: <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the We site landowner. <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Marne of Primary or Active Responsl�Ie I�aety.U. <br /> e,rnxJ T,'ct4 -n slki_ o��'fic Gh��I�S G.Iovclnnmi�iS �. '�+�5 - <br /> I, '�6Y4t1halj► l9'C. S true certify that the fo Iowing is a <br /> complete 1119t of current record fee title owners and their mailing,addresses for the <br /> :above site: <br /> t <br /> a <br /> -?. In accordance with Section 25297.15(aj of Chapter 6.7 of the.Health & Safety Code: <br /> Hame of'Responsible Party.; <br /> I, certify I am the.sole-landowner for the <br /> above site. <br /> Sincerely, <br /> µ , <br /> ignatuiDate <br />