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ti <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ��8d <br /> COMPUTER/PERMIT # ( #CVR 0 <br /> ��3// <br /> SITUS/FACILITYADDRE-SS: ��J`7/T S �� �bYLiq�p ` • <br /> DBA: O/n1 U <br /> BILL TO: /1d ( (�ISTT[/GT�Dn P o°q 269- 9365 <br /> BILLING ADDRESS: to, D . 8OX /yo3 <br /> CITY/STATE: ' I L_D CA ZIP: <br /> PROGRAMV: S/ TYPE OF SERVICE: /I P/77iWa-� <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEARES F (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> All -)Gr 3 hrS Ib Zl y'f b✓ h <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAKI- 430PNI-SAM/ <br /> SERVICE 430PM WEEKENDS <br /> II � � •3oy. O n CornQ/e!e- revru�, dr<F•F- <br /> n,emo t su,cL y'il�wdc��SQ <br /> II 14 �I q 15 resubn,K�-+s.fg revl <br /> 1231ql $.3o�q;oa 5 - )TI <br /> vp r". <br /> Cj ev s /tta.aQfidIl�d <br /> 3 3 '.30 y- (t wortL— U6b <br /> I <br /> I <br /> TOTALS �n <br /> BALANCE DUE: <br /> MILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />