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Y <br /> L <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ZZ <br /> COMPUTER/PERMIT # , rl <br /> SITUS/FACILITY ADDRESS: <br /> DBA: . ( <br /> BILL TO: e P ) PHONE_ :C4�( <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP' <br /> PROGRAM: ( TYPE OF SERVICE: _ SIV r <br /> ck 4 <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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTIO F WORK REHS NAME <br /> of SANT- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> —17— efs P30 <br /> `3ri�v1 � rn <br /> %30 <br /> 0 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />