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REQUEST FOR PRIORITY REPIE FY: <br /> TO: SAN JOA QUIN COUNTY PUBLIC HEAL III SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOA QUIN ST. <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: AFM Etc3icts OaTary <br /> (company name) <br /> 7 90& <br /> RE: ARD S� (ip, Statim Db. 2130 , (7609) F1 Ix each, str trj CA <br /> (facility address) <br /> IoVe) 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 for this priority request is conducted during offtb hours <br /> at an overtime rate of time and ane-half of $53. 00 (1 .5 x $53. 00) . <br /> Furthermore, I(M) understand that the PHS-EI1D will bill the responsible party (ies) <br /> identified on the "Site Mitigation Acknovledgement/Request for Services Form " for services <br /> rendered. <br /> Signature and Title Date <br /> Qnr]c Gm , Ilzvi�ana� R)4E r Nay 21 , 1991 <br /> Page 17 <br />