Laserfiche WebLink
ti <br /> SAN JOADUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVL. , <br /> P O LOX 2009, STOCKTON, CA 95201 <br /> HILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR.' ADDITIONAL INSPECTION TIME <br /> 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 /> -(� ,r <br /> SITUS ADDRESS: q �tPy' D PERMIT <br /> BILL TO: NAMErz <br /> ADDRESS r a <br /> t• <br /> CITY/STATE' 44 ZIP <br /> PROGRAM: 're <br /> jrr <br /> DESCRIPTION OF SERVICE(S) : l F � /r1y <br /> �^ DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM-4 : 0PM 4:50PM--SAM <br /> SERVICE HRS WORKED $35/HR $52.50/HR $70/HR <br /> '717151 V <br /> x 3� <br /> S /o <br /> LOTALS <br /> BALANCE DUE : <br /> BILLING DATE____-- — PAYMENT IS TO HE RECEIVED WITHIN <br /> r 30 DAYS FROM THE BILLING DATE . <br /> RETURN ONE COPY .OF . THIS BILL ALUNG WITH PAYMEN19 MAKE CHECKS PAYABLE <br /> TO: SAN JQAQUI.N.LOCAL HEALTH p,}STRICT . <br /> EI{ UO 43 <br /> E <br /> r <br />