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" BILL FOR SERVICES RENDERED y a <br /> � a I <br /> I <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION 1 <br /> 1601 E. HAZELTON AVE. , D <br /> P.O. BOX 2009 , STOCKTON, CA 95201 <br /> ( 209 ) 468-3447 <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR. ADDITIONAL INSPEC- <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HALF ('k) HOUR INCLUDING <br /> TRAVEL TIME. <br /> NOTE: PRIOR TO ALL IN PECTIOUS, CONTR2�CTORS LRE REQUIRED TO GIVE <br /> NOTICE AS SPECIFIED ON THE PERMIT APPLICATION. 1 <br /> SITUS ADDRESS: -.Sv S i a-� �? ._�l -� PERMIT# 7 <br /> BILL TO: NAME �CwiG(f2 CL <br /> cj <br /> ADDRESS 1'7 gb qp\r I�UY\ s4 3 <br /> E <br /> CITY/STATE- jRoSEUILLi=TC1=1 - -- ZIP <br /> PROGRAM L,t:L1A <br /> DESCRIPTION OF SERVICE( S ) : <br /> r <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF HRS SAM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 .50/HR $70/HR <br /> I <br /> r <br /> TOTALS <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 /> k �- <br /> Ex 00 46 9/88 .�z <br />