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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: /7/DO S. fYl4&,, A go,46 uaTik� G/1� <br /> DBA: <br /> BILL TO: S fT T i % Co. (CnnONE: <br /> BILLING ADDRESS: Q 8O X1599 // <br /> CITY/STATE: ��/��—� 661�4- ZIP:`?5,w5-04901 <br /> PROGR,'uM: TYPE OF SERVICE: 4L-5AZ>AISE <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 /> DATEWEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> of SAM- 4:30PM-3AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 3/l6`�Zj �i.ra�-iR'� rh�.J�Y Rc�,asr �L=•.1.�1,— z��6 <br /> I <br /> TOTALS <br /> RALVNCE DU& <br /> 13ILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />