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LTA a IT*) Ilk I ki I a e I WAI imml <br />I I R I al] MAT163 awl 11. <br />UNIT # <br />CONIPtJTER/PE <br />RMIT# <br />SITlJS/FACILlTY,r'\.DDRESS: <br />DBA: <br />BILL TO: 0 L'!1 L PHONE: <br />BILLING ADDRESS: -"Let( <br />CITY/STATE: ZIP: <br />PROGRAM: TYPE OF SERVICE: Ilet b- c I <br />TTIE MINIMUM TIME FOR EACH INSPECIION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL ITME. <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />SAN[- <br />4:30PNI <br />WEEKNIGHT <br />4:30PM-SAM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />RENS NAME <br />N <br />Ile Z,- ry <br />g 1qj <br />2— <br />4 - D <br />TOTALS <br />IIAL,kNCE ME: <br />IIII'LlING ll, TE: <br />FI -I 23 074 (Rev 3/22/91) <br />mi <br />m <br />Mi <br />