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ENVIRONMENTAL HEALTH DIVISION 10 <br /> ACCOUNTING WORKSHEET <br /> UNIT # VrALL F_ S-t P <br /> COMPUTER/PERMIT# 3 I pu 9 j ? %7 <br /> SITUS/FACILITY ADDRESS: �I a S• S fc . s I44 s S 4{ plc f-. C�1 �o _ <br /> DBA: VR lle,} <br /> p <br /> BILL TO: 62v Te,,d. PHONE: `/v3- - si-Itza <br /> BILLING ADDRESS: t9 i, (, Cs, + <br /> CITY/STATE: a u Tv S- f— CA 9 i y ZIP: 2 I <br /> PROGRAM: ul(sr TYPE OF SERVICE: i° < ve i e >, w 5 ze 14-«, , he o zj <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 /> 3 a, - t'7 s J/a / TYZ, a� (3.C, <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-3AM/ <br /> SERVICE 4:30PM \VEEICENDS <br /> 24 utc`W yl <br /> Z -d Sol' 010 <br /> / a lc <br /> / <br /> ��d9�5 <br /> (k 3 `!A -I J.r I 5 cz) OJ 1 <br /> Lai \O/,y 3 B - v 2 reuZuz +ock k, p QZ N/ <br /> Io/,K�43 9A -9'24 P «,,,.s, -OLb , c{vc w <br /> T vh sly 1. <br /> 6, 3 � <br /> TOTALS <br /> Rr\L\NCC DUG: n� <br /> i <br /> BILLING DATE: I/ 5 [ •� 1/ <br /> EH 23 074 (Rev 3/22/91) <br /> /svU '31��• �d�yy�y3 <br />