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RECEIVE,) <br /> APR 26201, <br /> ENV <br /> PERMIT/SERWCes L7� <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton,. CA 95202 <br /> Subject: CERTIFIED.LIST OF RECORD FEE TITLE OWNERS FOR: <br /> .r4R _Q _M.o-A1L.S F�.T/oN..�1� . R.G <br /> Meeks . <br /> SiTE�NAME: . V� <br /> �� ,. . <br /> ADDRESS: 6.3 6.5 Al .5 r IQ T- 9.61 15 D:, H ,( <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, PC?7 1f• /�'J�e ks ceitify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> 7 53 0 5Flo Kes Cf-. GO f f,C�-6 156 3Z <br /> �Catl� rfe • Meeks 153 1.os Flobes Ct. GAS+ CA 95632. <br /> y <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health.& Safety Code: <br /> Name of Responsible Party: <br /> certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> 21 112— <br /> Signature Date <br /> Revised 12/15/09 <br /> I. <br /> 4 <br />