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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 0 BOX 2009, STOCKTON, CA 95201 <br /> (209) 468-3447 <br /> TIME MINIMUM FOR EACH INSPECTION: ONE (1) HOUR. ADDITIONAL INSPECTION TIME <br /> WILL BE COMPUTED TO THE NEAREST HALF (1/2) HOUR INCLUDING TRAVEL TIME. <br /> NOTE: Prior to all inspections, contractors are required to give notice as <br /> specified on the permit application. / <br /> SITUS ADDRESS: ��0 / .yam PERMIT —,!52 4V <br /> BILL TO: NAME <br /> ADDRESS L.;?'4,,,7 <br /> CITY/STATE 2 6 ZIP <br /> PROGRAM �� TYPE OF WELLiy�G/7�l/�c� <br /> DESCRIPTION OF SERVICE(S) <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/ FIELD <br /> OF HOURS 8AM-5PM 5PM-8AM HOLIDAYS INSPECTOR <br /> SERVICE WORKED $53/HOUR $79. 50/HR. $106/HOUR <br /> TOTALS <br /> BALANCE DUE: I ^yll <br /> BILLING DATE: PAYMENT IS TO BE RECEIVED 30 DAYS FROM <br /> THE BILLING DATE. PENALTIES WILL BE APPLIED TO PAST DUE ACCOUNTS 30 DAYS <br /> FROM BILLING DATE. <br /> RETURN ONE (1) COPY OF THIS BILL WITH PAYMENT. MAKE CHECKS PAYABLE TO: <br /> PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY <br /> EH 00 46 8/90 (Revised) <br />