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SEP-1��++~ r � 72040 <br /> 4� J + <br /> San Joaquin County <br /> Environmental Health Department %w, <br /> '600 E. Main Street <br /> Stockton, CA 95202 <br /> n <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: f-- t)T6 I,.jvcs-Tt Ew—Ys _ <br /> ADDRESS: 3 5 LPL c r-_ TF? , CA 'k 'Y-3, <br /> _�— <br />�"� �-Complete'#1 itth-ei=e are rriulti'ple�site`landowners. , <br /> Complete #2 if you are the sole site landowner. <br /> I. 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 /> I, certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: : r <br /> C' <br /> i.. <br /> 2. In accordance with Section 25297.15.(a,)_of Chapter-6.7,of-the Mealth &:Safety Code: <br /> Name of Responsible Party: <br /> certify.) am the sole title owner for the <br /> above site. <br /> >Sinc7ly, , <br /> Signature <br /> Vdx <br /> k <br />