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SAN JOAQUIN LOCAL HEALTH DISTRlCl <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. . <br /> P 0 BOX 2009, STOCKTON, CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL BE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NO-TICE <br /> AS SPECIFIED ON THE PERMIT APPLICATION. <br /> SITUS ADDRESS: 4J. Sl PERMIT # AIA, <br /> 1,04- <br /> BILL TO: NAME <br /> ADDRESS Z(lZ <br /> t <br /> CITY/STATE ZIP qs �� <br /> PROGRAM: o AJ® <br /> DESCRIPTION OF SERVICE(S) : ZIAcU <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF SAM-4:30PM 4:30PM-SAM <br /> SERVICE HRS WORKED $35/HR $52.50/HR $70/HR <br /> Z,12,7- 7 spa <br /> `TOTALS <br /> BALANCE DUE: a! 09 <br /> BILLING DATE PAYMENT IS TO BE RECEIVED WITHIN <br /> 30 DAYS FROM THE BILLING DATE. <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT , MAKE CHECKS PAYABLE <br /> TO: SAN JOAQUIN LOCAL HEALTH DISTRICT. <br /> EH 00 43 <br />