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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. . <br /> P O BOX 21109, STOCkTON, CA 95201 <br /> 61LL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL. BE COMPUTED 10 NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON T14E PERMIT APPLICATION. <br /> SITUS ADDRESS:-36t- ((}���f211�E. PERMIT # <br /> BILL TO: NAME <br /> �fmLKX <br /> �fq <br /> -/ Iv�I�L'cfL /�n �( �y l (LRtJI\Yk�A ti I�' <br /> a <br /> ADDRESS �-�2Y-o6 <br /> CITY/STATE _ue h" ZIP <br /> PROGRAM: U&5- >T- l'X.ZBM.- <br /> DESCRIPTION OF SERVICE(S) : CP/J <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF 8AM-4 :30PM 4:30PM-BAM <br /> SERVICpE, HRS WORKED L35/HR $52. 50/HR $70/HR <br /> BALANCE DUE : <br /> BILLING DATE _ PAYMENT IS TU BE RECEIVED WITHIN <br /> 30 DAYS FROM THE BILLING DATE . <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENI , MAKE CHECKS PAYABLE <br /> TO: SAN JOAQUIN LOCAL HEALTH DISIRICT . <br /> Eli 00 43 <br />