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:.. �- BILL FOR SERVICES RENDERED <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> P.O. BOX 2009, STOCKTON, CA 95201 <br /> ( 209 ) 468-3447 <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR. ADDITIONAL INSPEC- <br /> TION TIME WILL BE COMPUTED TO THE HEAREST HALF (h) HOUR INCLUDING <br /> TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIODS, CONTRACTORS ARE REQUIRED TO GIVE <br /> NOTICE AS SPECIFIED ON THE PERMIT .APPLICATION. <br /> SITUS ADDRESS: <br /> C au PERMIT#`�q��q <br /> C V sC l,0A oi! <br /> BILL T0: NAME <br /> ADDRESS a¢7, I <br /> CITY/STATE10 <br /> -- (SQ ... ZIP � <br /> i <br /> PROGRAM__ <br /> DESCRIPTION OF SERVICE( S) : <br /> DATE TOTAL WEEKDAYS WEEKNIGHTlS WEEKENDS HOLIDAYS SANITARIAN <br /> OF HRS SAM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52.50/HR $70/HR <br /> 14_ '8q <br /> � !06-2= QU S,S <br /> { <br /> 1 <br /> TOTALS -3 <br /> BALANCE DUE: <br /> BILLING DATE: PAYMENT IS TO BE RECEIVED <br /> 30 DAYS FROM THE BILLING DATE. <br /> RETURN ONE ( 1 ) COPY OF THIS BILL ALONG WITH PAYMENT. <br /> MAKE CHECKS PAYABLE TO: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> EH 00 46 9/88 <br /> i <br />