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vNl <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEE i 1 If E OWNERS FOR: <br /> 3 z CITE NAME- L 6G o z Zc <br /> SADDRESS: <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. In accordance with Section 25297.15(a)of Chapter 13.7 of the Health&Safety Code: <br /> Mar�Be of Primary or Active Respooeible Panty: <br /> certify that the following is a <br /> complete list of c rrent record fee tifle owners and their mailing addresses for the <br /> above site: <br /> 3 2,2- L 1)eX <br /> 2, in accordance with Section 25297.15(a)of Chapter 6J or the 1-lealtil&Safety,Code: <br /> Plae?ta of Responeime Party: <br /> 4W n-z742—, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> 7 <br /> S i"ure Date <br />