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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL- HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. . <br /> P.O. BOX 2009 , S20C <br /> KTON CA 9520 tic <br /> ( 209 ) 46B-3447 <br /> NAL <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR.-R`- AHOURIONCLUDINGEC- y <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HA �f) <br /> - TRAVEL TIME. <br /> NOTE: PRIOR TO ALL IrISPECTIOUS, CONTR:.CTORS TRE REQUIRED TO LIVE <br /> E. NOTICE AS SPECIFIED ON THE PERMIT APPLICATION. <br /> .�, =,t v �' rt :r.,::•,{.. PERMIT# F1- f'GL <br /> SITUS ADDRESS: <br /> BILL TO: NAME <br /> ADDRESS <br /> ZIP <br /> CITY/STATE ,T"r,;. <br /> PROGRAM <br /> DESCRIPTION OF SERVICE`(S) <br /> DATETOTAL WEEKDAYS WEEKNIGHTS WEEKENDS' HOLIDAYS SANITARIAN <br /> OF HRS 8AM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 .50/HR $70/HR <br /> y � 4 <br /> TOTALS ' <br /> BALANCE DUE: `? 3 <br /> = PAYMENT IS TO BE RECEIVED <br /> BILLING DATA:: <br /> 30 DAYS FROM THE BILLING DATE. <br /> RETURN ONE ( 1 ) COPY OF THIS BILL ALONG WITH PAYMENT. <br /> MAKE CHECKS PAYABLE TO: SAN JOA UIN LOCAL HEALTH DISTRICT <br /> EH 00 46 9/88 <br />