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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 \ L <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR. ADDITIONAL INSPEC- <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HALF (;U HOUR INCLUDING <br /> TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTR<;CTORS ETRE REQUIRED TO GIVE <br /> NOTICE AS SPECIFIED ON THE PERMIT .iPPLICATION. <br /> SITUS ADDRESS: :5 <br /> PERMIT#( ` <br /> BILL TO: NAME <br /> ADDRESS o <br /> CITY/STATE.- <br /> ZIP <br /> PROGRAM <br /> DESCRIPTION OF SERVICE(S) : <br /> DATE TOTAL WEEKDAYS <br /> WE <br /> WEEKENDS HOLIDAYS SANITARIAN <br /> OF HRS SAM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 .50/HR $70/HR <br /> y ry f <br /> TOTALS Y �: <br /> BALANCE DUE: rY > <br /> BILLING DATE: L PAYMENT IS TO BE RECEIVED <br /> 30 DAYS FROM THE BIUI,I G 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 />