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San Joaquin County <br />Environmental Health Department <br />1868 E. Hazelton Avenue <br />Stockton, CA 95205 <br />Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNES FOR - <br />SITE NAME: 1 <br />ADDRESS.- <br />Complete <br />DDRESS:Complete #1 if there are multiple site landowners. <br />Complete #2 if you are the sole site landowner. <br />In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br />Name of Primary or Active R sponsible Party: <br />I, eaA � l LQ " Wn (/ certify that the following is a <br />complete list of current record fee title owners and their mailing addresses for the <br />above site: p l <br />tech G, V111 �a/'^ 14y <br />13 S5 <br />2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br />Name of Responsible Party: <br />19 �_ Coif certify I am the sole landowner for the <br />above site. f <br />Sincerely,.��rL e ��%��1"' ��� l IV1355" <br />Signature Yate <br />Revised 12/15/09 <br />