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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET/ / <br /> UNIT # � Z52y <br /> COMPUTER/PE-RMIT# / V1'IVA L �A f���5 /� <br /> SITUS/FACILIT,Y/A"D�DREnSS: 51OD I"6of4c Dub/o t�Ve'fiye' <br /> DBA: Naval keSPm/2 0'u l-ky- <br /> BILLTO: 2� I En/ y,,l ronmeri+4 ry��5 PHONt1 q/5)222-�. <br /> BILLINGADDR(ESS: 41 -5e LAKesld� br1U� // <br /> CITY/STATE: 1 c,-knoc)m CA �J /J ZIP: 7806 <br /> PROGRAM: U5 I TYPE OF SERVICE: {� mDU6L-C� <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 DESCRIPTION OF WORK RENS NAME <br /> of 3ANI- 4:30Pb[-3AM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> n A 7", <br /> 8191 2' Ipre-i)m rzvLew <br /> /rt ,/0IC <br /> s/D rjl g rD� �Mn rn nPW Le m Rt8 4,M <br /> m Gnsh CEosrme re✓cev� l//0� <br /> 9'00'g; o ruQ <br /> n 3:00 FIAigh rewe-j 5v ;7 +a <br /> .5;00 pm jU Vi5aY 7 I <br /> 5 <br /> 1 30 Re/mova-L�p 91 3�30 lint mvH te'(�JY <br /> q';6 Am WrIFZV Qamo 7ajht UraZ�1d <br /> /b Il;bo eUt aa-fATr soi <br /> R� IZ.00 �GlwtVl4Za <br /> TOTALS <br /> BALkNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />