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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET 1 <br /> UNIT <br /> COMPUTER/PERMIT# <br /> gI <br /> SITUS/FACIL= ADDRESS: <br /> DBA: <br /> BILL TO: PHONE:- <br /> BILLING <br /> HONE:BILLING ADDRESS: S <br /> Cr Y/STATE: 1 -, ► L <br /> ZIP: <br /> PROGRAM: ( TYPE OF SERVICE: f <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPEC 7ON MAE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR,INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DES ON OF WORK RENS NAME <br /> of SAM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> —� �- <br /> r <br /> TOTALS <br /> BALUNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/92) <br />