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ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # <br />COMPUTER/PERMIT # / ` A/ A 1119 <br />SITUS/FACILITY ADDRESS: <br />DBA: <br />BILL' <br />BILL] y-5� <br />CITY/STATE: (�f dYl �C/� ZIP: 3 <br />PROGRAM: J TYPE OF SERVICE: H j m1rl,&mJJ 1 ✓e- <br />THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />3AIVI- <br />4:30PNI <br />WEEKNIGHT <br />4:30PM-SAM/ <br />WEEKENDS - <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />REHS NAME <br />:3 <br />/T 3d <br />n4rh /VE OY 77 CP- <br />rn <br />47 <br />i <br />i <br />TOTALS <br />Ib\L\NCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />E <br />NY <br />(,Vr w, j <br />