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%W 40 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COVIPUTERfPER`rIIT # <br /> S[TUSIFACILITY ADDRESS: �J�3 � <br /> DBA: <br /> PHONE: 9�aLS 33 <br /> B[LL TO: <br /> BILLING ADDRESS: . <br /> ZIP: <br /> CITY/STATE: y dC - <br /> PROGRAM: V TYPE OF SERVICE: �[ l <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NE, ST HALF (1/2) HOUR, INCLUDIN VEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAN[- 4:30P,ti[-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> + <br /> 4 ern <br /> Rev"A,.,Zcl <br /> TOTALS <br /> II,�L1NCE DUE: <br /> !TILLING DA'I'IE: <br /> EI? 23 074 (Rev 3/22/91 <br />