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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # �/ <br /> COMPUTER/PERMIT # D D <br /> SITUS/FACILITY AD KESS: 7vy , I ST (-� `I r376 <br /> DBA: t--" <br /> BILL TO: t'iCt!s;-PH0NE•SXo—q <br /> BILLING ADDRESS: <br /> CITY/STATE: 1 ' f I ZIP: <br /> PROGRAM: V >T TYPE OF SERVICE: Pter 4� TA-0K <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. OI H p S ply 1. Jjfj 1-64 <br /> r /� V 7 e p4 <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAN[- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> r.2 <br /> -8-�3 low s�,t?Iat�t� l� k <br /> TOTALS <br /> BAL\NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />