Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <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 /> Y , WILL BE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON THE PERMIT APPLICATION. <br /> SITUS ADDRESS:_(.(. !.. 5— PERM I'T <br /> BILL T'O: NAME GS �.OIJSTSk,«�on) <br /> ADDRESS 2-4-012- 9-tJEj <br /> CITY/STATE L1VCL -� l ZIP 94S�� <br /> PROGRAM: IJ£�� - <br /> I <br /> DESCRIPTION OF SERVICE(S) : rt o kl. �IbSQEt�L��j <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOL I DAYS SANITARIAN <br /> OF SAM-4:.30PM 4:30PM-BAM <br /> SERVICE HRS WORKED $35/HR $52.50/HR $70/HR <br /> ifOTALS__ <br /> BALANCE DUE: <br /> BILLING DATE _ PAYMEN-T IS fU BE RECEIVED WITHIN <br /> 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 /> Ell 00 43 <br />