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tom` <br /> i <br /> I <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street - <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD:FEE TITLE OWNERS FOR: <br /> SITE NAME: k S t4-:4 39' <br /> ADDRESS: d2 2 F 15' P'A O ' .5/. cS cj< C gSZ0 S <br /> f <br /> Complete #1 if there are multiple site landowners. <br /> Complete#2 if'you _are the sole site landowner. <br /> T. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of PrimaryoActive Res on'sible Pa Qw�l< Sip Atiti�=�s� c.(,(, sse ) <br /> I, I,kA� - ,jR�/,�,� .,x'02 �w:/t S�oyo k'Fr.,T*r'ertify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> c5,0 " R�A L ',51S �>t Co. Tic . <br /> 676-64 - 1 ?,6 61 - <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> -AAA <br /> I' ll iU14.q L. X44ax iA-) certify I am the <br /> abovweito. RKaotJ <br /> Sincerely, <br /> I <br /> to �D <br /> Signature " Date <br /> Revised ]2/]5/09 <br />