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r" <br /> ENVIRONMENTAL TH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # t U <br /> COMPUTER/PERMIT # .!V/C k S lb <br /> SITUS/FACILITY ADDRESS: l 6 SDy c _ Govl se . <br /> DBA: _ /U>c k s % 44 z//9 5 <br /> BILL TO: p b+\ cc>w'dc,►1</ G/® lo`/ PHONE: <br /> BILLING ADDRESS: 2.k6 g rc,sdocc- n <br /> CITY/STATE: 2 0 L� (Q e®rQLQva ZIP: e95 6 zc� <br /> PROGRAM: 2-5 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`YORK REHS NAME <br /> of SAM- 4:30PIVI-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> i <br /> y-�� -' . t\° �U t.� �; tires <br /> I <br /> i <br /> i <br /> TOTALS <br /> BALANCE DUE: 1.5 X a = 117 <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />