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ENVIRONMENTAL HEALTH DIVISION, <br />ACCOUNTING WORKSHEET <br />UNIT # M 099 <br />CONIPUTER/PERNIIT # V1 LL iq ��o `j 5 `� / <br />SITUS/FACILITY ADDRESS: kog9 Emharcadero DYI vel <br />BILL <br />BILLING ADDRESS: 2 <br />-Te e <br />rlV(:n- 1 So//e E <br />CITY/STATE: f�?3yl c� ZIP: 95Z of <br />PROGRAM: V S I TYPE OF SERVICE: /T MLIVAt TI757� 11a7zoh <br />TI IE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br />NE.�RES F (1/2) HOUR, INCLUDING TRAVEL ti1E. �f <br />DATE <br />or <br />SERVICE <br />WEEKDAY <br />SANI- <br />4:30PI`I <br />WEEKNIGHT <br />4:30PNI-SAM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />REHS NAIME <br />'> <br />T.n rfl ' revt ecJ bo+fl <br />r t. 1. af7- <br />PQ.n la <br />I o:00 Ate^ <br />U <br />review w`sc)P� <br />o <br />e- revvt'tz <br />�mef w <br />s <br />1 t J3 9 <br />3 9500 <br />'H \ � <br />7Ur, w Ow /3 6+ Davis <br />a 'f 5 6-r <br />paw <br />IZ q1 <br />8' 3� � <br />�y <br />,,, rwtt�l+r�svbM�� -ro <br />�2 <br />q <br />1c):00 _ <br />(� <br />1 Inll• <br />oo <br />.y:pQ ?4w116L'4- <br />Rutt✓li• 1l3 I <br />I <br />ll7'✓ <br />o -r2=Wl"%`C <br />`�? n <br />�CwLwV <br />i <br />�' �✓�+- <br />:15-ysr <br />o:Db <br />lL� <br />Io ptpin Soap +est <br />FAlLr�' Ron! H• dia f/J <br />P V, <br />2g q7i <br />''i5'• <br />II,�S <br />��L <br />2° PtptYisoA / ��'s� <br />' �1L-eD <br />V! <br />�Tret/ <br />TOTALS <br />BBL\NCC DUE: <br />!TILLING DATE: <br />E: i 23 074 (Rev 3/22/91) <br />t <br />9A <br />