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Ai <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> P O BOX 2009, STOCKTON, CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <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 APPLICATION. G/j� C' /X1 <br /> SITUS ADDRESS:�C(il � j �� ���Kr PERMIT # 15 - <br /> B I LL_ TO: NAME I()JPiIy/� y��S <br /> ADDRESS 5 3( <br /> CITY/STATE ) . aCl ZIP <br /> PROGRAM: _d,-)U <br /> r <br /> DESCRIPTION OF SERVICE(S) : � � � '" ►� <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM-4:30PM 4:30PM-SAM <br /> SERVICE HRS WORKED $35/HR $52.50/HR X70/HR <br /> ,c-3d _ =- <br /> if O T A L S-- -- - ------- / 7 <br /> BALANCE DUE: <br /> BILLING DATE__ __ __ _ PAYMENT IS TO HE 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 J OAQU I N LOCAL_ HEALTH DISTRICT . <br /> EH 00 43 <br />