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wiz. , 11 <br /> v <br /> NM <br /> 4 <br /> s <br /> EQVIeST FOR PRIORITY REVIEW: <br /> KFS ' TD: SANJOAQVW COUNIT PUBLIC:HE,9MW SERI —63 <br /> r` F.WRONMENTAL HEAL?W DMS101V <br /> 445 S'AN JOAQWN ST. <br /> F.D. Bax 2009 <br /> Stockton,`CA 95201 <br /> corn ny named <br /> 4t,., f <br /> ( address) a <br /> } e-�. I(We) requeS1 Hurt our project be assigned to available San Joaquin County Public Health" - <br /> hoar r <br /> Environmental Health Division (PHS-E-fID) staff las a priority review. <br /> I 1(We) undersknd that the review fee for M4 priority request is Conducted durifig off hours at <br /> a►r overtime rate of thne and ane-hdf of$53.00 (1.S x $53.04), <br /> e`'Aftirthennare, 100) understand that thewell Lill the responsible parv(ies) ; <br /> kris an the "Sits Mitigation Acknowled ementlRe nest for Services Forret" or services <br /> "= renderw. ' <br /> f ' <br /> '. .; <br /> +h Si�9 y <br /> MOM <br /> :' ° req S"Fxrrtrtnre lrRd'rll <br /> 14 ` . <br /> s r- <br /> vt <br /> "cdr' �t 9?��' .Y�,.•y�' i � 4 � by 5'•' <br /> �Y� <br />