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r <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stocl ion, CA 95205-6232 <br /> Subject: CERTIFIED I-IS i OF RECORD FEE o I. LE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: <br /> Complete 41 if there are multiple site landowners. <br /> Complete 9.2 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 /> mar-no of Pvirnab°y ov AeUve �e�l�e�b�sal�Ie G�ar�f <br /> 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 or the Health 8: Sai`ety.Coc?e: <br /> t<Sa6,tc� E�`o'E�or�i�ob7�iE�Ie �;ab•�,y: <br /> ce.rti'iy l am'the Sale landowner f01'the <br /> above: site. <br /> Sincerely, <br /> D?ite <br /> �l�l l2tUfP <br />