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ar <br /> Appeal Form <br /> I, appeal the determination <br /> (name) <br /> by the Public Health Panel on Forward Inc, 9069 S. Austin Road, Stockton regarding <br /> an exemption from a state solid waste permit on June 27,2001. <br /> (Signature& Date) <br /> Basis for Appeal <br /> State Basis of the Appeal (list any findings of fact made by the Hearing Panel, which <br /> were wrong and the reasons why they were wrong): <br />