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1 <br /> REQUEST FOR PRIORITY REVIEW: <br /> TO: SAN JOA QUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN Sr. <br /> P.O. Box 2069 <br /> Stockton, CA 95261 <br /> FROM: �Ci ( a W;'a?jn ej+ed <br /> (company name) <br /> RE: 7 c. A.z;iAar 2.233 rr�rnaL a ma 61✓W,. <br /> (facility address) <br /> I(We) 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 off hours at <br /> an overtime rate of time and one-half of$78.00 (1.5 x $78.00). <br /> Furthermore, I(We) understand that the PHS-EHD will bill the responsible party(fes) <br /> identified on the "Masterfile Record Infonnation Form and General Program File Form"for <br /> services rendered. <br /> Signature and Tide Date <br /> Page 16 <br /> ���.'y"'S n�.r latiw- '.���r���r.• �����-.rat�nr'dr .-•'--•�.,�.�.ww _._..._�—-- ,.�� <br />