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REQUEST FOR PRIORITY RE117ETY. <br /> TO: SAN JOA QUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOA QUIN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM <br /> (company name) <br /> RE: -7I! 'Ale. Sfvcl4x C� <br /> (facility address) <br /> I(We) request that our project he assigned to available San Joaquin County Public Health <br /> Services, Environmental Health Division (PHS-E-1-ID) staff as a priority review. <br /> 1(We) understand that the review fee for this priority request is conducted during off hours at <br /> ars overtime rate of bine and one-half of,x-99 (1.5 x $ ). <br /> 79.00 Af.00 <br /> Furthermore, 1(We) understand that the PHS-EIID will bill the responsible party(ies) <br /> identified on the "Site Mitigation Acknowledgement/Request for Services Form"for services <br /> rendered. <br /> � s.r <br /> Signature and Title Date <br /> Page 17 <br />