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SITUS ADDRESS: <br />NOTE: PRIOR to ALL INSPECTIONS, CONTRACTORS ARE REWIRED 10 GIVE NOTICE <br />AS SPECIFIED ON THE PERMIT APPLICATION!. <br />_V( I <br />HILI IC) : NAMI <br />AODRESS <br /> <br />.1)4 _1;k - <br /> <br />7 .E 1 1 ti A>, <br />I I F' V5-- )''Ly <br />PI<Olif:AM : <br />JOAUOIN LOCAL HEN ill D1bIkILI <br />I-NvIRONMENTAL HEAI.IH DIVISION <br />16(11_ E4HAZELION <br />0 DM :tiotSTOCiTON. CA <br />1LL I. EUIERVICE5 RENDERED <br />TIME MINI huh (MEM INSPECIION-1 OWN. ADDITIONAL INSII.J.JION TIME <br />W1LI DE COMFOTED 10 NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br />/ / <br />DESCRIPTION OF 3ERvICE (S): It/C / <br />/ <br />DATE <br />OF <br />SERVICE <br />7/7/521; <br />--7/bVAA' <br />TOTAL <br />HRS WORKED <br />WEEKDAYS <br />94m-4:.5oPm <br />s35/HR <br />r <br />, • 3> = JAI <br />WEEKNIGHTS <br />4:30FM-BAM <br />$52.50/HR <br />WEEKENDS/HOLIDAYS <br />s70/HR <br />, • <br />I !,rr. I , <br />4, ) <br />1 A _ .C1 <br />14A1 ANCI Dot . <br />T I4 I t LING DA I I <br />;I I DANIS I I(IH 1 1 11 1 4 11_I I NG <br />HE T URN 111'1 (II <br />TO : SAN .1O0Oi N ut:At 11EALi H <br />4` • <br />t 4 <br /> <br />: • ,‘• <br />r <br />4 4,1 <br />eAYMEN Iv.; .(r(). <br />: • , <br />WI III l'AymOvlt, rtt <br />C! . t, • <br />IOTALb <br />11. <br />, <br />.4! <br />.•1 <br />1 41 RE( I 1 VED 1 .W (III I N <br />1 <br />CI It I 1.5 PAYAECL <br />I I <br />Ell 00 43 <br />',•