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04/15/2003 09: 41 2094683 FIF H FLOOR PAGE 02 <br /> San Joaquin County <br /> Environmental Health Department <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST REC D FE LE OWI S FO <br /> SITE NAME: ' [_. — <br /> ADDRESS: ? S <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 Acture Responsible Pa <br /> 1, certify that the following is a <br /> complete list of current record fee title owners arid 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 /> !, ce ify I am the sole landowner for the <br /> above site. J _ <br /> Sincerely, <br /> SI n2�tur <br />