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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # W <br /> COMPUTER/PERMIT# Chem 11aS y-F <br /> SETUS/FACILITY ADDRESS: L <br /> DBA: <br /> BILL TO: C O PHONE: <br /> BILLING ADDRESS: Y-3 <br /> CITY/STATE: ZIP: <br /> PROGRAM: I,/ to S f TYPE OF SL-RVICE: ty" Oo <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL. INSPECTION TIME IS COMPUTED TO THE <br /> NEARESTHALF (1/ ) HOUR IN L�UDING TRAVEL TIME. <br /> DATEWEEKDAY WEEKNIGH HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3ANI- 4:30PM-3AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> c <br /> I�-3iz <br /> - `�l /otod- lova o <br /> TOTALS a.-f5AA. <br /> B,\LUNCE DUE: X/ <br /> 13ILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />