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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 <br /> COMPUTER/PERMIT # SX;P? 3i7 swee�s /u s8 <br /> SITUS/FACILITYADDRESS: <br /> BILL TO: /9"1;" el PHONE: �U9-YG6 {YS3 <br /> BILLING ADDRESS: Ave- <br /> CITY/STATE: �/y_ °��i G? ZIP: 95 J o l <br /> PROGRAM: 4,1657- TYPE OF SERVICE: dao ),t �inJ✓ �14n r[u;Cu/.�vt S oecliyA e s f <br /> i <br /> THE MINIMUM TME FOR EACH INSPECTION IS ONE (1) HOUR ANY ADDITIONAL INSPECTION Tga IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR INCLUDING TRAVEL T214E. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIP I'ION OF WORK REHS NAME <br /> SAM- 430PM-8AM/ <br /> 430PM WEEKENDS <br /> li/W 6f mks X/Syoo s <br /> S/ <br /> s <br /> TOTALS <br /> BALANCE DUE- <br /> BILLING <br /> UEBILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br /> w — <br />