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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> CONIPUTER/PERMIT # CdI�GZ I-] <br /> SITUS/FACILITYADDRL-SS: 17700 AEALN2Q9Q 1, <br /> DBA: <br /> BILL TO: PHONE: Q�5 <br /> BILLING ADDRESS: 2lJfr /y /l �il /�oi4,� �_D • Q�X '��i <br /> CITY/STATE: <br /> PROGRAM: Z 3. 5D TYPE OF SERVICE: <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 SAN[- 430PNI-SAM/ <br /> SERVICE 430PM WEEKENDS <br /> 6 � y:ao-9:Noa, G aSvnCp k eui� ��v <br /> s � <br /> - � $'H5' v' NYi f�/'°` P¢'..w`. .�/0"L �I f`+Clir✓!V <br /> Q� 4G.i - <br /> _ F�i5CW5;o+ Lbi.r_k7. cWu <br /> 4aa� 0 o, t 6vWJ 4 <br /> � 3;30- 3:Y5 Coyp Uee.vu+e! ,i � V <br /> I <br /> I <br /> I <br /> TOTALS <br /> BALINCE DUE: <br /> BILLING DA'Z'E: <br /> EH 23 074 (Rev 3/22/91) <br />