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V <br /> 1 <br /> San Joaquin County,Public Health Services, <br /> Environmental Health Division <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: <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(x) 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 j <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> i <br /> 1 <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> I, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Signature <br /> 4 <br /> i <br /> II <br />