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T1JN t 20 — '31 1 YHU 1i .,: 0 8 S i r r- ck. Enti+ i, r i'n �f pro P _ C--12 <br /> REQUEST FOR MORITY REJI'EW <br /> TO: S,4N JOAQr)r4v COUNTY PUBLIC HEALTH SERVICES <br /> ENYIRONMENTA.L HEALTH DIVISION <br /> 445 SAN IOAQUIN ST, <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM; LrorL��_ - <br /> -- (company name) <br /> � <br /> ,Li /40,' ' � 1 s ,cFX <br /> (facility address) <br /> I(Tye) request that our project be assigned to available San Joaquin County Public Health <br /> Services, Environmental Wealth Division (PIJS-EHD) staff as a priority review. <br /> rce~hours <br /> I(We) understand that the review fee for this priority request is conducted during o� � <br /> at an overtime rate of tinge and one-half of$53.00 (1.5 x $53.00). <br /> Furthcrmore, I(We) understand that. the PIE'S-EHD will bill the responsible party(ies) <br /> identified on the "Site Mitigation AcknowledgementlRequest for Services Form"for services <br /> rendered. <br /> JUN 2U 1991 <br /> ENVIRONMENTAL HEALTH <br /> Sibmature and Title PEPM!TYSERViCES Date <br /> Page 17 <br />