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San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: PRc,'F( 'D£— WES- LANA <br /> ADDRESS: 3234 N. wEs LA#vE Sroc.Kl's,+,,, cog <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 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: <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> l: x/41, i�jja/ certify I am the sole title owner for the <br /> above site. <br /> Sing rely, <br /> i <br /> nature <br />