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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # . <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: /07/0 C-7- <br /> DBA:DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAIM: TYPE OF SERVICE: <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 SAIVI- 4:30PM-SAM/ <br /> SyERVIICZE� 4:30PPM� WEEKENDS <br /> l/il G/ i�cli�V � �i?J ILrC_ �/ FAL!7/GLt� <br /> Tn rJ�RFiro�rAt, <br /> C,Vlriz:L4,,� f3 s, cP6,15, <br /> I <br /> I <br /> TOTALS <br /> BALANCE DUE: <br /> 13ILLING DA'Z'E: <br /> EH 23 074 (Rev 3/22/91) <br />