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/ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT #: _ <br /> COMPUTER/PERMIT 255' <br /> SITUSIFACILITY ADDRESS: /700 Djomdo Sf <br /> DBA: ?le E/ Dosnci!o SPvidr At�r#l�rr7ts <br /> BILL TO: IQQPnco+J PHONE- W4-372 <br /> BILLING ADDRESS: PD. ,JRox /O.Z�L <br /> CITYISTATE: 14.)ah S2crampA,746 CA ZIP: _?569/ <br /> PROGRAM: (.(6S7- TYPE OF SERVICE.- <br /> THE <br /> ERVICE 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 SAM- 4:30PM-3AB I/ <br /> SERVICE 4:30PNI WEEKENDS <br /> JI 274/ /O:Od- �'ov C' N� <br /> h, <br /> 3hr i <br /> -2: o � ?owk a�1 Nit <br /> I hr �yp(yw1WN <br /> Sr z <br /> I'll'3:ov 3 r QOt�ua�u►- /l/J^ <br /> r <br /> TOTALS [ <br /> BALUNCE DUE <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />