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i <br /> • • • • <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: OCFl/L IacIS � <br /> ADDRESS: LIP 7 c FI L /'1AE., 51-o aTa^J r CA- <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 /> N e f Pr a,pr Active Responsible Party: <br /> N'e . n <br /> N;i�` rtCNr-gyc A%t7Jr <br /> J) cr6FCnaJr ;JC.n1J,l'13 LAJA � certify that the following isa <br /> complete Ilst of current record fee title owners and their mailing addresses for the <br /> -7,13above 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 /> I, certify I am the sole landowner for the <br /> above site. 515 Afc— F/4 rt ArieiCu Y-1 ('164111a �a <br /> Sincerely, P PiE..vn �Cj 7/i 'Co21oP,�J no„1 /a7/n��cL"D. <br /> / 6 -2-7-13 <br /> signature Date <br />