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t <br /> ENVIRONMENTALHEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # G� <br /> SITUS/FACILITY ADDRESS: L7 ! <br /> DBA: L- <br /> BILL TO: PHONE: ®I <br /> BILLING ADDRESS: <br /> CITY/STATE: / / ZIP: <br /> PROGRAM: ®-5- TYPE OF SERVICE: L- P44AI lf� <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 REHS NAME <br /> of 8A2vf- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> Cz <br /> v <br /> TOTALS <br /> I AL1NCC DUE: .�. 2 Jam_ '_ z 79 :z /75- SD <br /> 13ILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />