Laserfiche WebLink
L I <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E . HAZELTON AVE. , <br /> k, F O BOX 204-')9. STOCKTON, CA 95:01 <br />}' BILL. FOR SERVICES RENDERED <br /> s <br /> f <br /> k. TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL. DE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO :GIVE NOTICE <br /> AS SPECIFIED ON THE PERMIT APPLICATION. } <br /> SITUS ADDRESS: l wD �. PERMIT # <br /> A'l ` � <br /> i BILL TO: NAME ?'1 "` rq;" <br /> r • <br /> ADDRESS 5I U a1 K <br /> CITY/STATE R � <br /> Le ZIP <br /> PROGRAM: <br /> DESCRIPTION OF SERVICE(S) : <br /> f meP 4-4— <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAY <br /> S SANITARIAN <br /> `I OF 8AM-4:30PM 4:30PM-8AM <br /> k SERVICE HRS WORKED $35/HR $52. 50/HR $70/HR <br /> BALANCE DUE: <br /> BILLING DATE _--PAYMENT IS TO BE RECEIVED WITHIN <br /> 30 DAYS FROM THE BILLING DATE. <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT , MAKE CHECKS PAYABLE_ <br /> TO: SAN JOAQUIN LOCAL HEALTH DISTRICT. <br /> EH 00 43 <br />