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UNIT # �; <br />ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />COMPUTER/PERMIT # CNe'VP_ ;G' jtnl SPS 1gSZ <br />SITUS/FACILITY ADDRESS: o2g05 OEw M ccr JTGL"�K`I'�til <br />DBA: <br />BILL <br />Okakoj u"5 . <br />TO: -- PHONE -(u <br />BILLING ADDRESS: 111 OVd i rGl� <br />CITY/STATE: saU'bl.m,�tp CY7 ZIP: 1,1662z <br />-- <br />PROGRAM: UIP T TYPE OF SERVICE: U(? -I <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 />0�� <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />8AM- <br />4:30PM <br />WEEKNIGHT <br />4:30PM-8AM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK REHS NAME <br />_ < ) <br />�• 5_ <br />3014 <br />+72-g( <br />30 b \ <br />—2�, _D I <br />3 u -3 <br />— I G <br />i\rt c C��xC t — <br />� <br />�. <br />�P.✓G J6 $o �s; fit/ / i Yir• <br />At <br />oo "`' : ot) <br />trhk��" <br />1023D - \ <br />u� ynG <br />UL 7- <br />TOTALS <br />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/91) <br />• <br />IIA <br />/Yh <br />/VA <br />1,,1A <br />11!A <br />W/4 <br />I <br />