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i <br /> { <br /> y <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED EXIST 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{a}of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> 1, certify that the fallowing is a f <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> i <br /> f <br /> i <br /> i <br /> 2. - In accordance with Section 25297.15(a)of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: I <br /> certify I am the sole title owner for the <br /> above site. <br /> i <br /> Sincerely, <br /> Signature <br /> :k <br /> k <br /> 1 <br />