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WW <br /> RECEIVED <br /> SEP 12 2014 <br /> ENVIRONMENTAL HEALTH <br /> PERM <br /> I <br /> T <br /> /S <br /> E <br /> R <br /> VtO <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> Subject: CERTIFIED LIST OF RECORD FEETITL OWNERS FOR: <br /> SITE NAME: 41 - <br /> ADDRESS: J4 4 <br /> 9 <br /> Complete#1 if there are multiple site landowners. <br /> Complete #2 if you are the sole site landowner. <br /> 1. Aacw�ith Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> or Active Responsible Party: <br /> certify that the following is a <br /> rren record fee title owners and their mailing addresses for the <br /> /S-3 <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 /Date <br /> IIIc <br /> Revised 12/15/09 J <br />