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0 <br /> RECEIVED <br /> AUG G 5 1pp'1 <br /> REQuEsT FOR PRIORITY REVIEW. ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM. R-E- Nk4AurACMeLn1C1 LTD- <br /> (company name) <br /> RE: IeZS G. C44erCrc- V4Y Tme-M4 <br /> (facility address) <br /> I(IYe) 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 jbr this priority request is conducted during offs hours <br /> at an overtime rate of time and one-/calf of$53.00 (1.5 .v $53.00). <br /> Furthermore, I(We) understand that the PHS-E11D will bill the responsible party(ies) <br /> identUted on the "Site Mitigation Acknowledgement/Request for Services Form"for services <br /> rendered. <br /> Signature and Title Date <br /> (x 5t C_ VU Ear_ } CA 3832 Z. 1 burr 1991 <br /> Page 17 <br /> i ' d EZ ti 16i11 /Lo W08zl <br />