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0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> _ ACCOUNTING WORKSHEET <br /> u[NIT # <br /> 12 -73 <br /> CO NIP UTER/P ERMIT # 11V&--5/ <br /> S[TUS/FACILITY ADDRESS: yap 60-ep- trl-, <br /> DBA: We-2fAA G1TG rQf <br /> B ILL TO• _ %��`7T i'I / f"( i iil C�/Z(f( R _ PHONE �f GI (6)I <br /> BILLING ADDRESS: Z? 35 SJ -cc <br /> CITY/STATE: � 1 Q c K l p, _ _ (�7r4 ZIP: <br /> PROGRAM: / 3 f TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH [INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TWE IS COMPUTED TO THE <br /> NEARESTHLF (1/2) OUR, INCLUDING TRAVEL TIME. <br /> di 3.6 . Gam' <br /> DATE 'WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS N.A�IME <br /> of SAN[- 4:30P:NI-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> 7 C3 DU' 1 y ' �'V1 �tiJ Lt�r til�riat it <br /> 2:co — rev)P6)ed. n <br /> 3; UO <br /> i <br /> i <br /> TOTALS <br /> RAL1NCE DUE: yf <br /> 13ILL1\G DXrE: !„,I <br /> EH 23 074 (Rev 3/22/91) <br /> W <br /> V <br />