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4 <br /> f <br /> San Joaquin County <br /> 3 Environmental Health Department <br /> 600 E. Main Street <br /> i Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: �G 14 <br /> C,OrfA 54 I-e <br /> ADDRESS: 13q5a 9 77 <br /> l <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, 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(x)of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> /C ?C>S / certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Z � <br /> sig Ur- Date <br /> Revised 12/15/09 <br />