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i� <br /> n <br /> 1 <br /> r <br /> H <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> 11 <br /> i <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> i SITE NAME: R n -� SCYNACes 1'► <br /> s ADDRESS: 9 r ovel 5o i <br /> ?,lpo'n, CA. 95 Ge.' -if <br /> Complete #1 if there are multiple site landowners. <br /> Complete#2 if you are the sale site landowner. <br /> Inaccordance with Section 25297.15(a) of Chapter 6.7 of the Health& Safety Co <br /> P Y <br /> E <br /> -Name of Primary or/fictive Responsible Party: <br /> • k <br /> q mben - certify that the following is a r <br />'I com lete list of current.record fee title owners and their marlin addressesfor _ <br /> h f� g the. . _.. <br /> i above site: <br /> F: Land 49 1d(esAine Lori,.,Ca 95Z-40- <br /> 2. <br /> sz4y2. In accordance with Section 25297.'15(a) of Chapter 6.7,of the Health&Safety Code: <br /> Name of Responsible Party: <br /> I, certify l am the sole landowner for the <br /> above site, <br /> Sincerely, <br /> Si nature Date <br /> r <br /> Revised 12/15/09 <br />