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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # r <br /> S7z <br /> SITUS/FACILITYADDRESS: <br /> DBA: <br /> PHONE: �J <br /> BILL TO: <br /> BILLING ADDRESS: SQ 1 <br /> ZIP: <br /> CITY/STATE: <br /> PROGRAM: 3• �U TYPE OF SERVICE: VIA1---- <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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 CRev 3/22/91) <br />