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rt <br /> I SAN JOAOUIN LOCAL HEALTH DISTRICT <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION t <br /> 1641 E . HAZELTON AVE. , <br /> `t <br /> F O BOX 2009. STOCKtON.`-CA` 95201 , ' <br /> f DILL FOR SERVICES RENDERED.: . . <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. •ADDITI-ONAL INSPECTION TIME <br /> L_ <br /> WILBE COMPUTED TO NEAREST 1/2 HOUR INCLUDING. TRAVEL .TIME: <br /> ,+ NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE-REQUIRED TO GIVE NOTICE <br /> f AS SPECIFIED ON THE PERMIT APPLICATION. <br /> S I•TUS ADDRESS: O'qa 5. PERMIT # �•�- � <br /> BILL_ I'O: NAME —A k P�. CD•.e v+ee'L" ,jt �pnS-��a s• ' Z...�• r .._ <br /> ADDRESS <br /> CITY/STATE z I F' <br /> i <br /> PROGRAM: <br /> DESCRIPTION OF SERVICE(S) : oric�o..i til rn+� <br /> r <br /> `` . <br /> �i v^� �l.Ow•�.`f .�� ""� 7 L��'C/" .���i�ir ��' 1\� �� »' T�/"� 7 <br /> } 1 T T ll <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM--4:.34PM 4:30PM-BAM <br /> I� SERVICE HRS WORKED $35/HR $52. 50/HR $70/HR <br /> 1 t 4 <br /> Y <br /> i <br /> p <br /> s � a <br /> ILPTALS <br /> BALANCE DUE.- ---- <br /> BILLING <br /> UE: _--BILLING DATE PAYMENT IS TO DE RECEIVED WITHIN <br /> 30 DAYS FROM 'THE BILLING DATE. <br /> 5 <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT , MAKEw. CHECKS PAYABLE: <br /> TO: SAN JOAQUIN LOCAL HEALTH DISTRICT . <br /> EH 00 43 <br /> r- <br />