Laserfiche WebLink
REQUEST FOR PRIORITY REVIEW: <br /> TO: SAN JOAQUN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAL'M DIVISION <br /> 445 SAN JOAQUN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: ARM Pr0AactS own <br /> (company name) <br /> RE: 1BM Savi_ce Statim bb. 2168, 414 Gjai Y My, Stocktm, CA <br /> (facility address) <br /> I(TYe) request that our project be assigned to available San Joaquin County Public Health <br /> Services, Environmental health Division (PHS-EHD) staff as a priority review. <br /> I(We) understand that the review fee,%or this priority request is conducted during office hours <br /> at an overtime rate of lime and one-half of$53.00 (1.5 x $53.00). <br /> Furthermore, I(We) understand that the PHS-EIID will bill the responsible party(ies) <br /> identified on the "Site Mitigation Acknowledgement/Request for Services Form"for services <br /> rendered. <br /> Signature and Title Date <br /> Gx� Chu el RV1raTmta1 arill= Yay 21, 1991 <br /> Page 17 <br />