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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 /> TIME MINIMUM FOR EACH INSPECTION: ONE (1) HOUR. ADDITIONAL INSPEC— <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HALF (h) HOUR INCLUDING <br /> TRAVEL TIME. i <br /> NOTE: PRIOR TO ALL INSPECTIOUS, CONTRACTORS ARE REQUIRED TO GIVE <br /> NOTICE AS SPECIFIED ON THE PERMIT APPLICATION. <br /> 4 <br /> SITUS ADDRESS Mo 1 , . ti2L.5 cy <.�' PERMITS <br /> BILL TO: NAME tC! ! ° l� C �1` �` .n <br /> � s " <br /> ADDRESS <br /> CITY/STATE 6a ZIP <br /> PROGRAM r' <br /> DESCRIPTION OF SERVICES) : <br /> i <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 /> it <br /> II �—,77. 5t -C�X12. `(�3u - i':;4 �1��✓! <br /> L <br /> i <br /> d • <br /> r <br /> I <br /> TOTALS ��,li` <br /> BALANCE DUE: <br /> I <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. j <br /> MAKE CHECKS PAYABLE TO: SAN JOA UIN LOCAL HEALTH DISTRICT j <br /> EH 00 46 9/88 <br />