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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # - <br /> CONtPu'TER/PERMTT # So C/� D /S / J 1 / <br /> SITUS/FACILITYADDRESS: `3003 E. �TC�irZL97z4hJ C cL. ) <br /> DBA: _ Is C f <br /> BILL TO: - PECO (k) PHO i <br /> BILLING ADDRESS: -R3 <br /> CITY/STATE: C n ZIP: <br /> PROGRAIM: a-3 , o TYPE OF SERVICE: �'�YYL(3-V CL J2- <br /> THE WNUAUM TME FOR EACH INSPECTION LS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TIME LS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INdUDING TRAVEL TIME. ,C 3 O O <br /> NJ' <br /> WEEKDAYV WEEC,`IIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 43OPM-SAM/ <br /> 430PM WEEKENDS <br /> 11'�3 Y 3:00 -Y:00 Rene; cg <br /> llv-y /A'.co F. r a ��> -V- 7(r / <br /> ,l u, E <br /> �1100 �f•,DO <br /> Fl-ay- a 3',p0-•' '.po y; ere t e� � <br /> �J <br /> fii Ct p <br /> 1i <br /> II:00—.00 M71 ntn fewloY 45Ia� 0 e <br /> Naw A-tbt. rePor <br /> 00 /vj <br /> TOTALS i 3 <br /> BAUNCE DUE.- <br /> BILLING <br /> UEBILLING DATE- <br /> EH <br /> ATEEH 23 074 (Rev 3/22/91) <br /> / 1 Thomas J. Reese <br /> 11490 Connecticut Street,Hayward,CA 94545 <br /> =o444 Fax(510)782-8584 CL#54572!_� <br />