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f <br /> MgyO� vkz) <br /> ?014 <br /> CF <br /> San Joaquin County <br /> S <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEC TITLE OWNERS FOR: <br /> SITE NAME: �— <br /> ADDRESS: G2& <br /> Complete#1 if there are multiple site landowners. <br /> Complete.12 if you are.the sole site landowner. <br /> 1. in accordance with Section 25297.15(x)of Chapter 6.7 of the Health& Safety Code: <br /> Narmie of brio n2aey ov Active Resp0eadl6,le Party: <br /> I Z /V / 4- certify that the following is a <br /> complete list of c .rrent record fee title"owners and their mailing addresses for the <br /> above site: <br /> r <br /> eta _ 5 / <br /> i <br /> i <br /> 2. In accordance with Section 25297.15(a).of Chapter 6.7 of the Health 3:Safety,Code: <br /> C�a6nF�3 eSo Irsg�oe�sile Irayy: <br /> �e- certify i am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Srv<!?�ture faaie <br /> I <br /> i <br />