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s - <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E . HAZELTON AVE. , <br /> F O BOX 21)x9, STOCKTON, CA 952+11 <br /> DILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL FIE COMPUTED 1*0 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 tt <br /> SITUS ADDRESS:, t6 &41L AULA PERMIT # <br /> B I LL TO: NAME <br /> r- <br /> ADDRESS <br /> CITY/STATES G(��=f J —ZIP <br /> PROGRAM: WCL , <br /> + <br /> DESCRIPTION OF SERVICES) : lUY1}�yFXcrc.-�7o�-, wPl,_l Yd <br /> 9 <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM-4:30PM 4:30PM–BAM <br /> SERVICE HRS WORKED $35/HR $52. 50/HR $70/HR <br /> 3:3042 3,p <br /> 51 xt -.._.--- ---- r 3� _ ...- ------ ._.__._ __.—_.._..— <br /> �f�---- <br /> ��1s1p'S / a: 36-3.'3b <br /> f FOIA ..S <br /> BALANCE DUE <br /> BILLING DATE _ ------..PAYMENT IS TO BE RECEIVED WITHIN <br /> +i] DAYS FROM THE BILLING DATE . <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT, MAKE: C:HECk::S PAYABL#_ <br /> TO: SAN J OAQU I N LOCAL, HEALTH D 1 ST R I O T . <br /> EH 00 43 <br />