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r <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEAL-I-H DIVISION <br /> 1601 E . HAZELTON AVE. . ` <br /> F O BOX 2009, STOC k TON. 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. <br /> <2-(S--- Jc' <br /> SITUS ADDRESS: <2-(S---_—S 0�--�P n ✓ PERMIT #� a S <br /> B ILL TO: NAME= c'0 <br /> ADDRESS <br />` � <br /> CITY/STATE �l ��r'Irp ZIP__- <br /> PROGRAM: __PROGRAM: <br /> F DESCRIPTION OF SERVICE=( S) : <br /> i <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM--4:30PM 4 :3 C FM--BAN <br /> k SERVICE HRS WORKED $35/HR $52 . 50/HR X70/HR <br /> f <br /> BALANCE: DUE : <br /> S I LL I NG DATE � _ _. _ ,PAYMEN 1 IS TU BE RECEIVED WITHIN <br /> 00 DAY'S FROM THE BILLING DAT L . <br /> RETURN ONE COPY OF THIS BILL AkUNG WITH F'AYNE N1 MAKE CHECKS PAYABLE <br /> f O: 5AN ,J QPUQ I N 1 H OWN " <br /> Eff 00 43 <br />