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A <br />PUBLIC HEALTH SERVICES �pQUlry <br />SAN JOAQUIN COUNTY <br />JOGI KHANNA M.D., M.P.H. <br />Health Officer., P.• <br />P.O. Box 2009 (1601 East Hazelton Avenue) • Stockton, California 95201 °ttF6ea <br />(209) 468-3400 <br />ENVIRONMENTAL HEALTH DIVISION - UNIT III <br />BILLING STATEMENT <br />(209) 468-3427 <br />FACILITY ADDRESS: 1621'157 LL -De I ec LO D I SWEEPS # <br />BILL TO: 03E<,T?-_C0 ME72!�z <br />BILLING ADDRESS:cZ�-TTcpfe, L <br />CITY/STATE: at: k n ('<' ZIP: Ci5 20 <br />PROGRAM: UCS BILLING DATE: <br />THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br />D. <br />SERVICE <br />• <br />• <br />D• <br />$53.00/1-M <br />I , <br />• <br />• <br />• <br />. •' <br />woo Jim <br />I MOORE, mill <br />f� <br />I <br />BALANCE DUE: . PAYMENT IS TO BE RECEIVED 30 DAYS FROM THE BILLING DATE. <br />PENALTIES WILL BE APPLIED TO PAST DUE ACCOUNTS 30 DAYS FROM BILLING DATE. <br />RETURN ONE (1) COPY OF THIS BILL ALONG WITH PAYMENT. MAKE CHECKS PAYABLE TO: <br />PUBLIC HEALTH SERVICES -ENVIRONMENTAL HEALTH DIVISION (PHS-EHD). <br />EH 23 074 (Rev 1/14/91) <br />`vision of San Joaquin County Health Care Services <br />