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SUN � 2Q <br /> IN <br /> 13 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> CERTIFIED O TITLE O_WNERS.EOR-- <br /> L Subject: CERTIFIED LIST OF RECORD FEE _ �• _,. <br /> SITE NAME: � ��1 ►�a� s 1� YAu t_ <br /> ADDRESS: WA S 1'�c,1Cfia 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 /> Name of Primary or Active Responsible Party: <br /> I, <br /> 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 /> AnckYewG,Y,d F—ol,+k ��� )MA►h <br /> F—G� +SAN rr�sT� <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code <br /> NameofResponsible Party: <br /> I, ` Z4y- fi certify l am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> � Y,. <br /> Signature Date <br />