Laserfiche WebLink
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:,._ Y"GWa./:� .- 4 CSS Z i- -tio�"�.� <br /> .ADDRESS: �i/aD: E_ �7-G OrI . .. � ^��rl C�ef.. g✓r�/ <br /> Complete #1 if there are multiple 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, /1�1y' S 6w certify that the following is a <br /> complete list of current record fee tale owners and their mailing addresses for the <br /> above site: <br /> � 1 <br /> N <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of.Responsible Party: <br /> certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Si ature Date <br /> Revised 12/15/09 <br /> J <br />