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H <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. VIAZELTON AVE. . <br /> P U DOX '.2f)(9, STOCKTON, CA 75201, <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION--1 HOUR. ADDITIONAL INSPECTION TIME ; y <br /> WILL DE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. _. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON THE /PERMIT APPLICATION. <br /> SITUS ADDRESS:� � lf_ PERMIT # <br /> BILL. T O: NAME <br /> ADDRESS <br /> CITY/STA�TjjE ZIP <br /> PROGRAM: <br /> I <br /> DESCRIPTION OF SERVICES) : SII <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF GAM-4:30PM 4:30PM-BAM <br /> SERVICE HRS WORKED $35/HR x52. 50/HR $70/HR <br /> .-� <br /> BALANCE DUE : I _I� <br /> BILLING DATE _ PAYMEN f IS TO LAE RECEIVED WITHIN <br /> DAYS FROM THE E41 LL I NG DATE . <br /> RETURN ONE COPY OF THIS BILL ALONG WITH, F'AYMFNI . MAKE LFILCKS PAYADLf_ <br /> TO: SAN JOAOUIN LOCAL HEALTH DIS1RICT . <br /> Eli 00 4;3 <br /> i <br />