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Ld <br /> San Joaquin County <br /> Environmental Health Department <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: t . n <br /> Complete #1 If there are multiple site landowners. <br /> Complete #2 if,you are the sole site landowner. Y <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, doe + V al1-�_ 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 /> Rnher+ -1- Yl�c�,r la 110,E l� as l 3 asen���e--- vehue n g532b <br /> 01 I 1330 i �1 �o� L�1 i a�e 4 53� 1 <br /> 1�e e co + Oc4Cs+o 15350 <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> f I, certify I am the sole landowner for the <br /> Sinc y; <br /> gnatu e <br />