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ti <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT l <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> P O BOX 2009, STOCKTON, CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILT. 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 /> S uTUS ADDRESS:—�`7�� PERM I T <br /> BILL TO: NAME 4 <br /> ADDRESS �3 LXJ• MCLL.Cjn I , , <br /> CITY/STATE GYt ZIP <br /> PROGRAM: lAll A— <br /> L ,ri <br /> i <br /> DESCRIPTION OF SERVICE(S) : Ir0 L2�rr c� 1 <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF SAM-4:30PM 4:30PM-BAM <br /> SERVICE HRS WORMED $35/HR $52.50/HR $70/HR <br /> f OTALSI'i �. �U t <br /> BALANCE DUE: 21-'7 J , 7S <br /> BILLING DATE_____ — PAYMENT IS TO BE RECEIVED WITHIN <br /> .30 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 /> EH 00 43 <br />