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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FAC[LITY ADDRESS: 96 .aS7 1"`4,y,kcf CA <br /> DBA: atxvtbo �)eo <br /> Tottu- <br /> BILL TO: ftUftV f_S PHONE: -JZ <br /> BILLING ADDRESS: 20 ilco� <br /> CITY/STATE: A ZIP: <br /> PROGRAM: — __TYPE OF SERVICE: <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 SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> t•ly• t�hlr10165 M. S <br /> i•I •R hr 1 fatio m mea <br /> •15 hr �i �Gfit�►n . ryl CLAMS <br /> 1.19.q hrDerflftS pecf-tcv7I(Yl S <br /> do•43 <br /> roeU'15 f1b►it fV� <br /> • I I t� a r&# ut Cho m uworyo <br /> TOTALS 1 1 &7k <br /> B,%LkNCE DUE: l0 Z"1 <br /> IIILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />