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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # �_ <br /> COMPUTER/PER+IIIT# <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: <br /> PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: <br /> ZIP: <br /> PROGRAM: 90 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 CI/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30Pbf-3Abf/ <br /> SERVICE 430PM WEEKENDS <br /> �6 �: lb �f: �LrXiv�eE �Gvr Etu <br /> A602s pLvkict <br /> Z! 9 � 19b•Z :vu L!�'I�,QE /�G/l/Env �f2/L <br /> JYN q;Zv�v C L <br /> GLvSvPE r�Ev�6tc, <br /> lL e' <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />