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r. _n <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT _ <br /> ENVIRONMENTAL HEALTH DIVISION ^ I�' <br /> 1601 E. HAZELTON AVE. . <br /> P O BOX 2009. STOCKTON, CA 95<<ii <br /> p: BILL FOR SERVICES RENDERED <br /> i <br /> TIME MINIMUM FOR EACH INSPECTION--1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL. BE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. !I <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON THE PERMIT APPLICATION. !� <br /> SITUS ADDRESS: U <br /> PERMIT <br /> BILL TO: NAME <br /> � r <br /> ADDRESS //" <br /> ZIP <br /> CITY/STATE it <br /> 'r <br /> PROGRAM: 'I <br /> DESCRIPTION OF SERVICE(S) : fob �! <br /> I�! f <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM--4:30PM 4:30PM-8AM <br /> SERVICE HRS WORKED $.35/HR $52. 50/HR $70/HR' <br /> I I° <br /> .: IM <br /> _ 'BALANCE DUE : _ t..-. �5 <br /> BILLING DATE _ PAYMENT IS 'TO 'BE RECEIVED WITHIN <br /> DAYS f=ROM�T HE BILLING DATE . II � <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT, MAKE CHECk;S PAYABLE � <br /> 'TO: SAN J.OAQU.I N LOCAL HEALTH DISTRICT . <br /> El{ UO 43II- ----- _ <br /> i j <br />