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_t;:�ci CI c t Ct,.7,r 9, <br /> REQUEST ICOR PRIORITY RE,WE IF. <br /> TO. SAN JOA QUIN COUN77 PUBLIC HEALTH SEP RMES <br /> ENVIRONMENTAL REAL77fDMSION <br /> 445 SAN JOAQUIN ST.. <br /> P.O. Box 2009 _x <br /> Stockton, CA 95141 <br /> FROM Me- <br /> (company name) <br /> RE. Se s mq a[t; s r4--rm N +r -4w e-o"Ik o e- w fhT57- AXIS' Wa xatly <br /> (facility address) <br /> 1(We) request that our project he assigned to available San Joaquin County Public Health <br /> Services, Environmental Ilealth Dikvion (PHS-EHD) staff as a priority review. <br /> I(Hfe) naderstand that the review fee for this priority request is conducted during off hours at <br /> alt averfline rate of time and one-half of$53.00 (1,5 x $$3.00). <br /> Airthermore, I(IVe) underhand that the PH$-EFID will bill file responsible party+(ies) <br /> identpd on the "Site AMgatiort Aclaim0ledgement/R'equest for Services Fortn"for services <br /> rendered <br /> ),lDD � <br /> Signathre and Title Date <br /> Page 17 <br />