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f <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: <br /> DBA: 6Zt9 aQ Qtat � - c"o. <br /> p R <br /> BILL TO: l 1 PHONE: ;--elf zf/ _ J <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP• ` <br /> PROGRAM: TYPE OF SERVICE: PZ Vl <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3AM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> f <br /> =TOTALS <br /> IIALkNCE DUE.- <br /> BILLING <br /> UE:BILLING DATE. <br /> EH 23 074 (Rev 3/91) <br />