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DATE <br />OF <br />SERVICE <br />7/7A <br />.3/4AS <br />TOTAL <br />HRS WORKED <br />WEEKDAYS <br />8AM-4:30PM <br />$35/ HR <br />/ <br />WEEKNIGHTS <br />4:30PM-8Am <br />$52.50/HR <br />WEEKENDS/HOLIDAYS <br />V7777. <br />lto <br />IOTALb <br />HAIANCI <br />'T <br />14 I L L'I NG Hit; I <br />DAYb !Win Ild HIL1 ING' <br />RETURN ONE tur.N Of <br />TO: SAN JOAOtt:N tOCAl HEAL, H, <br />1441' <br />1.:11 00 CI <br />• , <br />PAYMEN 10 RE(I i vE W.I.( I THIN <br />. (.• <br />WI 1H PAyMEN1!!„.r",1 Out LKS PAYANLL <br />JOAUOIN LOCAL 1W1ki HI IHSIRIL1 <br />1.NVIRONMENTAL HEA1 10 DIVISION <br />1601 E.411AZELIHN AVL.. <br />I . 0 NIX :009STOCiTON, CA Yt)201 <br />RIII 1-0q5ERVICES RENDERED <br />TIME MIN1MUm I Ilk I ALH INSPECTION-1 HOUR. ADDITIONAL INSII.LIION TIME <br />wiLt LE COMFUIED 10 NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br />NOTE: PRIOR 1U All INSPECTIONS, CONTRACTORS ARE REWIRED TO GIVE NOTICE <br />AS SPECIFIED ON THE PERMIT APPLICATIOM. <br /> <br />W / / ( / <br />, <br /> <br />SITUS ADDRESS: ,_ f JAALPERMIT N 5' <br />EOLI, 10! NAM' <br />ADDRESS _ <br />t t/61' <br />, Ei1dIL f )'<e <br />1. <br />CI1Y/51A11 / 1/4- /1L111// ZIF <br />PRO(kAM: Ii !l <br />DESCRIPTION OF 3ERVICE(S): (11_,/z-pit[rim4 /I, <br />r`