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F BILL FOR SERVICES RENDERED <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> P.O. BOX 2009 , STOCKTON, CA 95201 <br /> (209 ) 468-3447 <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR. ADDITIONAL INSPEC- <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HALF ('h) HOUR INCLUDING <br /> TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRPICTORS ARE REQUIRED TO GIVE <br /> NOTICE AS SPECIFIED ON THE PERMIT :APPLICATION. <br /> SITUS ADDRESS: 01 5, W i I Whi PERMIT# <br /> BILL TO: NAME ? <br /> ADDRESS C.Q. lox <br /> CITY/STATE 1�G,v �6Q ZIP <br /> PROGRAM <br /> DESCRIPTION OF SERVICE( S ) : <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS HOLIDAYS SANITARIAN <br /> OF HRS 8AM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 . 50/HR $70/HR <br /> 1-2.5-'PA 2:&'-3-vc <br /> I-2 5"- AK 3.130.1q.1s 0 -5 <br /> �n <br /> TOTALSs`� <br /> BALANCE DUE: A3 f o---, <br /> BILLING DATE: PAYMENT IS TO BE RECEIVED <br /> 30 DAYS FROM THE BILLING DATE, <br /> RETURN ONE ( 1 ) COPY OF THIS BILL ALONG WITH PAYMENT. <br /> MAKE CHECKS PAYABLE TO: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> EH 00 46 9/88 <br />