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i <br /> F <br /> tl-4 <br /> 'San ,Joaquin County <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: 75 a�O f]70 rtin} +�an C/4 IV <br /> ADDRESS: lj 7RVG 0 366 <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sale 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 /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Codi:: <br /> Name of Responsible Party: <br /> !, �D — certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> 'Signature Date <br /> I <br /> P <br />