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I <br /> San,Joaquin County <br /> Environmental health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95245-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEE T1 i t-E OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: CR <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 26297.15(a)of Chapter 6.7 of the Health&Safety Code: <br /> Warne of€ rimaiy or Active ftsponeiWle pgmj,. <br /> 1, /(/V �,A- - 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 /> 3 2-2- � )eK Z4�0_ <br /> 1 <br /> A <br /> i <br /> h of the Health 8:Safety Code: <br /> 2. In accordance with Section 25297.15(a)of Ch�.pte►-G.7 y= <br /> I taiaeo of Responsible PatJ <br /> �0, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> S i�iuro Date <br /> I <br />