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SAN JUAOU I N LOCAL HEALTH U I S TR 1 C T <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E . HAZELTON AVE. . <br /> P U BOX '2009. STOCKTON, CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> Ci� A161 <br /> TIME 1-'11 N I MUM FOR EACH INSPECTION- 1 HOUR. ADDITIONAL INSPECTION TIME <br /> W1LI HE COMPU1ED TU NEAREST 1/2 HOUR INCLUDING TRAVEL TIME . <br /> NUIE : PRIOR f0 ALL INSPECTIONS . CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON THE PERMIT APPLICATION. <br /> �y �izr' G✓ 0 Co' S c-c 7L c <br /> S I EUS ADDRESS: f(/ �" 57 '� S <br /> Cd1 _�1,Q �c _PERMIT # <br /> I <br /> BILL. T O: NAME_ <br /> CITY/STATE Z IP- <br /> PROGRAM: �'i+�O �n /✓ loy-s C6 F <br /> �d I <br /> DESCRIPTION OF SERVICE(S) : xs`�w, d� ae'ec a 1.►l a/" <br /> DATE TOTAL WEEKDAYS WEEF::NIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAN-4 : 21OPM 4 :30PM-BAM <br /> SERVICE HRS WORKED �.'S/HR52. 5C�/HR $70/HR <br /> f <br /> �fOTALS_ <br /> i <br /> HALANCE DUE : <br /> BILLING DATE PAYMENT IS TO BE RECEIVED WITHIN <br /> �_► DAYS FROM THE BILLING DATE . <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT . MAP::E CHECKS PAYABLE_ <br /> To: SAN JOAQU I N LOCAL HE=ALTH DISTRICT . <br /> Ell 0 4:1 <br /> I <br />