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1997 <br /> ENVII+D(\3PVENTAI HEALJH <br /> REQUEST FOR PRIORITY REVIEW: PE6,11T/SERVICES <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 95201 <br /> FROM: <br /> (company name) r <br /> RE: 1 <br /> (facility a-d rens) <br /> I(11'e) request that our project be assigned to available Sart Joaquin County Public Health <br /> Services, Environmental health Division: (PHS-EIID) staff as a Priority review. <br /> I(We) understand that the review fee for this priority request is conducted during off hours at <br /> an overtime rate of time and one-half of$75.00 (1.5 x $73.00). <br /> Furthermore, I(We) understand that the PHS-EIID will bill the responsible party(ies) <br /> identified on the "Masterfile Record Information Form and General Program File Form"for <br /> services rendered. <br /> `Signature nd Title Date <br /> Page 16 <br />