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1 � <br /> a <br /> � f <br /> i <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 0 BOX 2009, STOCKTON, CA 95,201 <br /> (209) 468-3447 <br /> TIME MINIMUM FOR EACH INSPECTION: ONE (1) HOUR. ADDITIONAL INSPECTION TIME WILL BE COMPUTED <br /> TO THE NEAREST HALF (1/21); HOUR INCLUDING TRAVEL TIME. <br /> r NOTE: Prior to all inspections, contractors are required to give notice as specified on the <br /> permit application.,,V�%�a�X60 ceav/rE �YE� <br /> SITUS ADDRESS:/—!�7V— �y/'w' 0, ,8� t�/rc��f��,r i�9d6��o��o�Ex. RMIT 1 5? <br /> j BILL TO: NAME <br /> �lr ADDRESS x I ii o ey <br /> F CITY/STATE // �a�C C ' ,sem ZIP <br /> PROGRAM Recreational Health <br /> DESCRIPTION OF SERVICES)-: �J�FEz/Gey <br /> [ ] Reinspection found repeat violation(s) on and at <br /> ( ) Reinspection required to reopen pool/spa closed by EHD. <br /> [ ] Inspection for a complaint was found to be valid. <br /> y I <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/ FIELD <br /> OF HOURS SAM-5PM 5PM-8AM HOLIDAYS INSPECTOR <br /> SERVICE WORKED $35/HOUR $52.50/HR. $70/HOUR <br /> t <br /> �Z �Z21<d <br /> TOTALS /Q <br /> BALANCE DUE: <br /> BILLING DATE: PAYMENT IS TO BE RECEIVED 30 DAYS FROM THE BILLING <br /> DATE. PENALTIES WILL BEI iAPPLIED TO PAST DUE ACCOUNTS 30 DAYS FROM BILLING DATE. <br /> . <br /> RETURN ONE (1) COPY OF THIS BILL WITH PAYMENT. MAKE CHECKS PAYABLE TO: <br /> PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY <br /> 1 <br /> EH 00 46RH 9/90 (Revised) <br /> 1 <br /> f <br />