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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # Jlf <br /> I)LUrnBI <br /> COMPUTER/PERMIT # D �(�1>�A- <br /> SITUS/FACILITYADDRESS: JC05 �'eynorli ✓rr <br /> DBA: 061 Pf,�, &mp <br /> BILL TO: IAS d-f' ( f5Y1�i�✓( I,r PHONE• 36g'y30•S <br /> BILLING ADDRESS: � • • EJU�C I�1�3 <br /> CITY/STATE: L-Douc ZIP: --/5z L11 <br /> PROGRAM: UST TYPE OF SERVICE: 9 <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NE4REST HALF (1/2) HOUR, INCLUDING TR4VFL TIME. <br /> ><1 f HIVES (tlllllqj <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SA Vf- 430PM-SAM/ <br /> SERVICE 430PM WEEKENDS <br /> /D /y 913o ni rev wWk <br /> Io 3 9/ 23�:0o I� r-Gv(2w. rn r I <br /> 9. ln/yI, % <br /> P� Vw <br /> 30 — <br /> toro4-c v z-yv, <br /> I <br /> TOTALS <br /> I3ALkNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />