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RE�E�VED <br /> NOV 13 2014 <br /> ENIPIE MM SEAL HEALTH <br /> 13V <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 OVvNERS FOR: <br /> SITE NAME: <br /> ADDRESS: <br /> Complete#1 if there are multiple site landowners. <br /> i <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 /> Nam/e/of Primary or,fictive Responsible Party: <br /> I, L, p( /L:5 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 /> i <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> I, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Signature Me <br />