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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMP=WPERMIT# CxYon 31 Sweeps �Q22 I <br /> t7 <br /> SITUS/FACILITY ADDRESS: 312- re W 1 en I a m I n HD J T <br /> DBA: XXQn ' L �1 L <br /> BILL TO: Robes+ ff � Ie� A�SaC • PHONE:( <br /> BILLING ADDRESS: A00 L�QYl<,GaL r end ll?q GYGl2. 5�C 2S� <br /> CITY/STATE: I ,r � r�`J 1� CA,n ZIP: 67149-39 <br /> PROGRAM: v6 r TYPE OF SERVICE: l J�, �, ' // I" <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 SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> In <br /> N ii <br /> 23 ql Z3o-y.3p 1�'1 r <br /> b <br /> Io:oo- revs�ser,� �,sobM, s 06kR �� r�-o Mf <br /> 3-so 1hr Pq,D n�+JAZ reVleiW o ern. perm v�b� <br /> i5 9/ y.3o UCd °' <br /> !� y :oo -36 SID pp"o ��d <br /> 8. t to N �i? 16-6i-1 1Zhrs <br /> 8 b R <br /> 9:00 -p I ti� P�,p evre.J re sv6m i s m-n /6��� . <br /> 15 9t o:oo H. PAID W uncfFtie„Win•, s <br /> pa'. 1/1, <br /> Vo KNOW alpl�u <br /> !60D I D wr-rke vp rGrmavxe <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />