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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 9 <br /> COMPUTER/PERMIT # CoOOCFoz l �� <br /> SITUS/FACILITY ADDRESS:C���n i mill �hanC, ao)( b 03,6 STo c� -t-- ,CA q s Zoe <br /> c� <br /> DBA: / � / <br /> BILL TO: S/ t C�I� 4uL' i3t-[,qoP PHONE: YAG <br /> BILLING ADDRESS: S I� <br /> CTI'YlSTATE: /-tKu- ZIP: <br /> PROGRAM: 2S. UO 2f 4b TYPE OF SERVICE: ��_ <br /> 1?-M MINIMUM TMIE FOR EACH INSPECTION IS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TAIE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TAE. <br /> WEEKDAY WEEK,-TIGHT HOLIDAYS <br /> c�Dt1?EcSUCLR^:iPts <br /> O�N.iauO.vZFaP vW/1aO++�RK RENSNA <br /> E <br /> 8AM- 430PM-8AW <br /> 430PM WEEKENDS <br /> , <br /> 16 <br /> 36 -T:?CIA <br /> I <br /> TOTALS <br /> BALXYCE DUE: <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22(91) <br />