Laserfiche WebLink
ENVIRONMENTAL E(2MRlSE V CHEALTH <br /> REQUEST FOR PRIORITY REVIEW: <br /> TO: SAN JOAQUIN COUNTY PUBLIC IIEAL III SERVICES <br /> ENVIRONMENTAL IIEAL'TH DIVISION <br /> 445 SAN JOA QUIN ST <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> (company name) <br /> RE: e-�I "G cam , � , <br /> (facility address) <br /> I ffe) request that our project be assigned to available San Joaquin County Public Ilealth <br /> Services, Environmental Ilealth Division (PHS-EHD) staff as a priority review. <br /> I(We) understand that the review fee,%or this priority request is conducted during office 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 PIIS-EIID will bill the responsible party(ies) <br /> identified on the "Site Mitigation Acicnorvledgement/Request for Services Foam"for services <br /> rendered. <br /> tAn <br /> Signature and Title Date <br /> Page 17 <br />