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I <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. . <br /> F O BOX 2009, STOCK:TON, CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL. BE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON TES t� <br /> /ERM,I/T APPLICATION. U / <br /> S�TOLIC7�/U TFR�^irVf `Mb44�DKK�JS Vu V �2 PERMIT # <br /> SITUS ADDRESS: _/- <br /> HILL TO: NAME <br /> ADDRESS <br /> CITY/STATE -6FlNlLiEk ZIP C� yS O <br /> I <br /> PROGRAM: — <br /> DESCRIPTION OF SERVICE(S) : <br /> D � SOIL <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM-4:30PM 4:3C►PM-6AM <br /> SERVICE HRS WORKED $35/HR $52. 50/HR X70/HR <br /> -87 <br /> T O T A L S-- --- --- -------- <br /> BALANCE DUE,$ <br /> BILLING DATE _ _ ___PAYMENT IS TO BE RECEIVED WITHIN <br /> DAYS FROM THE BILLING DATE . <br /> RETURN ONE COPY OF THIS BILL ALONG WITH F'AYME NT , MAM::E CHEC h;S PAYABLE <br /> TO: SAN JOAC�UIN LOCAL HEALTH U.1STRICT . <br /> Eli 00 43 <br />