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i <br /> I <br /> IL <br /> VPA <br /> . <br /> r <br /> Fi�V/Ro 2 6?013 <br /> PFRM�1 <br /> San Joaquin County /CFS <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: S <br /> V�U 3 7(P <br /> Complete;�1.if there are multiple sit Ian ownIrs. <br /> Complete 9-2 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 /> dt a, <br /> C�i Vic- -+, u--d- A <br /> C"' . - At -z&— �,,� has <br /> IWO . <br /> 2r1n ccordance 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 /> i <br /> Sincerely, <br /> Signal re Date <br />