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December 15, 2009 <br /> Mr. Charles Jacob <br /> P. O. Box 8820 <br /> Stockton, CA 95208 <br /> San Joaquin County Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: Terminous Market <br /> ADDRESS: 13889 W. Hwy 12, Lodi, CA 95242 <br /> Complete#1 if there are multiple site landowners/record fee title owners. <br /> Complete #2 if you are the sole site landowner/record fee title owner. <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 /> 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 <br />