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I <br /> g. BILL FOR SERVICES RENDERED <br /> �T M <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601. E. HAZELTON AVE. , <br /> .P.O. BOX 2009 , STOCKTON, CA 95201 <br /> ( 209 ) 468-3447 <br /> R <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR. ADDITIONAL INSPEC— <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HALF (�.) HOUR INCLUDING <br /> TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIOUS, CONTR,=ACTORS ARE REQUIRED TO GIVE <br /> NOTICE AS SPECIF�IIED/jON THE PERMIT :APPLICATION. <br /> ZSITUS ADDRESS:i 1 i ? 6 7 6PERMI�i'#�,� el <br /> BILL TO: NAME1 <br /> I <br /> ADDRESS o,gal <br /> CITY/STATE ZIP <br /> PROGRAM <br /> DESCRIPTION OF SERVICE( S ) : r <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF HRS 8AM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 .50/HR $70/HR <br /> 1111111,YV -2. 5- <br /> �d2 3v 'DO- •3 <br /> L5" Uv"R _ <br /> 1 <br /> F� <br /> TOTALS ! /,.62rec 7� D � 2 .� <br /> 1 , <br /> BALANCE DUE: <br /> BILLING DATE: PAYMENT IS TO BE RECEIVED <br /> 30 DAYS FROM THE BILLING DATE. <br /> RETURN ONE ( 1 ) COPY OF THIS BILL ALONG WITH PAYMENT. <br /> MAKE CHECKS PAYABLE TO: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> c <br /> I <br /> EH 00 46 9/88 <br /> 1 . <br />