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REQUEST FOR PRIORITY REVIEW: <br /> TO: SAN JOA QUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 9520.1 <br /> 1 <br /> FROM: Ury—1— A 0A".1124 —4Ai t <br /> (com any name) <br /> RE: fr Q z SGS C�� <br /> (facility address) {i <br /> I(We) request that our project be assigned to available San Joaquin County Public Health <br /> Services, Environmental Health Division (PHS-END) staff as a priority review. <br /> { <br /> I(We) understand that the review fee for this priority request is conducted during off hours <br /> at an overtime rate of time and one-half of$53.00 (1.5 x $53.00). <br /> Furthermore, I(We) understand that the PHS-EHD will hill the responsible party(ies) <br /> identified on the "Site Mitigation AcknowledgementlRequest for Services Form"for services <br /> rendered. <br /> i <br /> I� <br /> 4 <br /> Signature and Title `�"'" Date <br /> J <br /> S 7— 9.21 <br /> Page 17 <br /> a <br />