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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 `✓ <br /> COMPUTER/PERMIT # ieoTOR /S \ <br /> SITUS/FACILITYADDRESS: /S/`/ 4c�- $4�cic4-rn , 04 psZv/ <br /> DBA: <br /> BILL TO: Ta^ k rxca✓ 4-1-- -r PHONE: <br /> BILLING ADDRESS: �3 o M4, Alf moo+ o. 12 #�u 4 <br /> CITY/STATE: 5e-b-/-mss VG /lr v CA ZIP: <br /> PROGRAM: l/ff5/BV0 al TS TYPE OF SERVICE: 4&A ern <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADD 111 SPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. - <br /> a.t.e <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SA VI- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> Cu h .ls cpry�t.�s. <br /> 6V/ <br /> //l y 3 s 3D 8o <br /> '� n �s..d k •�, 'V l <br /> S�l Yif 3 //a - t m"k <br /> S N/ <br /> A)/ <br /> c, e - J til <br /> A-1,30 L.i(�: C <br /> TOTALS <br /> BAL%NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />