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r <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # a/ MER 1 0 i <br /> SITUS/FACILITY ADDRESS: O� �} <br /> DBA: c <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: J', E'p _ o- -V"C-e. <br /> CITY/STATE: ZIP: J�d <br /> PROGRAM: GS r TYPE OF SERVICE: <br /> . 1241 4J <br /> r 'Ro _.p <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANYA D ON AL INSPECTIONS1564E 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 SAM- 4:30PINI-SAM/ <br /> SERVICE 4:30PN1 WEEKENDS <br /> All <br /> C7 19' <br /> TOTALS I <br /> BALINCE DUE: 1 <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />