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0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNIT ;* <br /> ACCOUNTING WORKSHEET <br /> COMPUTER/PERMIT # OU1 2 �,50J--'��-7� 29 <br /> SITUS/FACILITY ADDRESS: - /d 3 ►n/ • /"�&k zdna <br /> , !� <br /> DBA: #61 v <br /> BILL TO: /� 9 <br /> BILLING ADDRESS: <br /> CITY/STATE: f' Z!''. <br /> PROGRAM: 1/S1 TYPE OF SERVICE: dy� <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDM04NAL INSPECTION TIME IS COMPUTED TO THE <br /> N T HALF /2) HO R CLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF NORK REFIS IA\IE <br /> Of SAM- 430PNI-SAM/ <br /> SERVICE 4::0PM WEEKENDS <br /> i,� <br /> r2✓K.w� S,k, fo f- - I <br /> i <br /> ` 7, <br /> 6-I(o'g3 <br /> Qai Ul w a rA „a-.n <br /> / 9:00 773 UST- I <br /> 10' Iq'g3 U)i1' Guro/e- up re ev reyo-y <br /> '.00 —9:3 ay'rC&Ze <br /> Me -2- <br /> a n w <br /> fmoay-1-t nFrer�-(�reD,.,l-I <br /> TOTALS <br /> TIAL\NCE DUE: <br /> MILLING I)Xi'r: <br /> EH 23 074 (Rev 3/22/91) Con mfr <br /> 116l9Ir.3o- 1200 e- O <br /> I21211g3 1'3o'Z�3� ,w� <br /> R�v� re . Uh��.l�r �� eS <br />