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r t <br /> SAN J(A(JUIN LOCAL I LALIIi DIS Tk1(:T <br /> t w F=NV I RONME N T AL HEA1_-T H DIVISION f <br /> 1601 E . HAZ LL I ON AVE . , <br /> P 0 BU X 26o9, STOC; - TON. CA 9 2_X.)1 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION--I HOUR. ADDITIONAL INSPECTION TIME= <br /> a <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 THEj PERMfIT APPLICATION. <br /> SITUS ADDRESS:— !� C=__ /fA JT 4 PERM IT It � <br /> B 1 LL. TO.- NAME kV' <br /> ADDRESS-7(, .�� <br /> CITY/STATE �C�/IGord �G ZIP <br /> r <br /> DESCRIPTION OF SERVICE(S)- r?s/ )!�'15.��C/r�09 <br /> DATE TOTAL WEEKDAYS I WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM-4 :.30PM 4 :30PM—BAM 1 <br /> SERVICE HRS WORKED $35/HR $52. 50/HR $70/HR <br /> i <br /> k <br /> I <br /> roTa1_S — <br /> BALANCE DUE : -- <br /> BILLING <br /> UE : —BILLING DATE PAYMENT IS TO DE RECEIVED WITHIN <br /> U <br /> DAYS F 4:i]P1 I HE BILLING DATE . <br /> RETURN ONE COPY OF THIS E41 LL ALONG WITH PAYME N1 , MRM::E CHECKS PAYAHLE <br /> 'TO : SAN JOAQU I N LOCAL HEAL-IH D I STEN L"T <br /> Ell UO 43 <br /> I <br />