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RECEIVED <br /> DEC 13 2010 <br /> ENVIRONMENTAL HEALTH <br /> San Joaquin County PERMIT/SERVICES <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FO�Z <br /> vV"Fr OL(. 4 SPADOxas <br /> SITE NAME411 L, MPpSzT — <br /> ADDRESS:-*" 17 aSG N f{W y <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, 3ol. ,JI A. `Tc W—r- 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 /> MccuA [c. S rt«pR , ZI 14LL.LS DQE p4. AApRr pj-F <br /> 4 <br /> Soµ A , Tcc.�ER /187 P&►oAA,Ayc �r2 Nt�4lt,zs�►�Z, C'/k `1'Y53 <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> 1, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> IZ - 9 - to <br /> ignature Date <br /> Revised 12/15/09 <br />