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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# -3 <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: /0 <br /> DBA: <br /> BILL TO: LGr fig �CJai sfru���ar� PRONE: y7V-,d//9 <br /> BILLING ADDRESS: 0 <br /> CITY/STATE: cl/yv rA ZIP: °,S-das— <br /> PROGRAM: //GT TYPE OF SERVICE ;�/� veyieul 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 3AM- 4:30PM-3AM/ <br /> SERVICE 4a0PM WEEKENDS <br /> -1-9 q plan rewed <br /> 9 02 /V anevieu7 oaltw 01A <br /> V <br /> TOTALS <br /> BALUVCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />