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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> CONIPUTER/PERNIIT # 15TDC- 03 �# , <br /> SITUS/FACILITY ADDRESS: -3e715 �JaV DrofC,- <br /> DSA: f2ha �I u) <br /> ?(H�Q ZT) 3 <br /> BILL TO: <br /> FILLING ADDRESS: � V goo 5ng <br /> CITY(ST�\TE: ZIP: <br /> PROGRAM: � I TYPE OF SERVICE: <br /> A �y�- -- <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TWE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIM9. <br /> / hr 513 <br /> DATE WEEKDAY 1NVEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAIME <br /> of SAN(- 4:30PNI-SAIM/ <br /> SERVICE 4:30PM WEEKENDS <br /> t <br /> .3a p;3o <br /> I b 11 91 coo -� >n ten^p v <br /> I <br /> JZ7r <br /> fra1 h r/ <br /> TOTALS <br /> VALANCE DUE: <br /> BILLING Dr\'i•I:: G' <br /> EH 23 074 (Rev 3/22/91) <br /> i <br />