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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: Wo'5 S • eg;eStNo <br /> DBA: eN�mbImVIA 1� <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO T`HE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 8AM-5PM 5PM-8AM/ <br /> SERVICE WEEKENDS <br /> 2. <br /> -ab- X11 :oo-3t 10 or� eU� e <br /> TOTALS <br /> IIAI ANCE DUE: <br /> MILLING DA'L'E: <br /> EH 23 074 (Rev 3/91) <br />