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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # 03 (a <br /> SITUS/FACILITY ADDRESS: /0 o0 /(/• GIS t/1 L�p�C, <br /> DBA: <br /> BILL TO: GG �(C(/I rC��/L] PHONE/ao9)8a5-S'7o� <br /> BILLING ADDRESS: /J l) ri �}���n�{�, 1 <br /> CITY/STATE: Q���� /4 l 3703 _ ZIP: <br /> / <br /> PROGRAM: 1e-�- S r TYPE- OF SERVICE: .S IL- Gu/7�lil�C7 <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 WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SANT- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> r �o Q Vin- y <br /> io; oo = I,� min $rr rnx <br /> i <br /> TOTALS <br /> IIALANCE DUE: <br /> MILLING DXrE: <br /> EH 23 074 (Rev 3/22/91) <br />