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f <br /> �N <br /> SAN J OAQU I N LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> F O BOX 2009, STOCKTON, CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> i <br /> i <br /> TIME. •MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECT_IOWTIME <br /> "WILL BE 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 ALLLICATION. p } <br /> SITUS ADDRESS: JVb rlPERMIT # ` F <br /> SILL TOs NAME CJL <br /> �r <br /> ADDRESS D f irv,� 3Ub <br /> CITY/STATE ZIP OAA�' 356 <br /> PROGRAM: �u <br /> DESCRIPTION- OF SERVICE(S) : /ti� Z' � <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM--4:30PM _4:30PM-SAM <br /> SERVICE HRS WORKED $35/HR S52.50/HR $70/HR...—_ <br /> 1t- 13~P 1, 0 /Glm <br /> -PG <br /> a , �r1 <br /> 7 p - <br /> w -f8 <br /> kOTALSo� 'Q.L�tJ <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 />