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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # sujsr-7 1 � <br /> SITUS/FACILITY ADDRESS: !7 'f ve <br /> DBA: <br /> BILL TO: �2 IIIC Il' PHONE.(2©9 g-Lol2y� <br /> BILLING ADDRESS: 1 kl CA 952 <br /> 6�5- <br /> C1TY/STATE: C ZIP: 2O <br /> PROGR wi: -I�t � �TYPE OF SERVICE: E R&Af_ Ij5A) I Pyr mAS <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAPAT HALF (1/2) DOUR, INCLUDING TRA L TIME. <br /> fD r-(2- fIR5 lY gl <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> Of SAM- 4:3 OPM-SA.Nf/ <br /> SERVICE 4:30PM WEEKENDS <br /> FJZ'g/ <br /> ;j <br /> re Vbm <br /> pl�lo <br /> jWOvs{aom MefeLei <br /> o►,p e <br /> to Uh 4 cv. <br /> 'a <br /> TOTALS <br /> 11MANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />