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- 1 <br /> BILL FOR SERVICES RENDERED <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , (` J <br /> P'.0. BOX 2009 , STOCKTON, CA 95201 1 <br /> ( 209 ) 468-3447 <br /> i <br /> I <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 /> r <br /> t <br /> NOTE: PRIOR TQ;ALL INSPECTIONS, CONTR+=,CTORS LRE REQUIRED TO GIVE, <br /> NOTICE AS SPECIFIED ON THE PERMIT APPLICATION. <br /> SITUS ADDRESS: 1:9.6-iT PERMIT# 31 <br /> BILL <br /> f <br /> BILL TO: NAME <br /> �G n - �,l <br /> E <br /> i <br /> ADDRESS <br /> CITY/STATE =,c rU,� C14 ZIP <br /> i <br /> PROGRAM <br /> I <br /> DESCRIPTION OF <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF HRS SAM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 . 50/IIA $70/HR <br /> �j l `i <br /> �— 5 `I 'lz <br /> �r1r, <br /> L ��M <br /> f <br /> a <br /> TOTALS VZ, l3-u- so L�1+Lr <br /> } <br /> BALANCE DUE: G <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 i <br /> i <br /> d <br /> EH 00 46 9/88 <br /> i <br />