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PUBLIC HEALTH SEI!VICES <br />SAN JOAQUIN' COUNTY <br />JOGI KHANNA M.D., M.P.H. <br />Health Officer <br />P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton, California 95201 <br />(209) 468-3400 <br />ADMINISTRATIVE HEARING AGREEMENT <br />DATE %>—%—% 7 <br />FACILITY <br />ADDRESS 3Z© 5 <br />.24;547W <br />/-oarzo2r w. ^,0'^,0'--.,-• <br />OWNER/OPERATOR <br />�a/�Y <br />til <br />4a'-_ <br />San Joaquin County Public Health Services -Environmental Health Division Representatives: <br />l 4Y2�2a hereby, agree to have all violations per inspection <br />report(s) dated /:1" / pertaining to the above referenced <br />facility/premises corrected on or before a/ _h/�F- (All reinspections <br />'f8• Q0 <br />will be assessed at a rate of $;3:00 per hour.) <br />I further agree that said violations may be detrimental to the public health and/or safety and <br />will prevent these violations from recurring. I understand that failure to comply with this <br />agreement will result in further legal remedies and/or may result in the closure of my facility <br />through suspension or revocation of my Environmental Health Permit. <br />COMMENTS: <br />WN <br />EH 0042.Gen (Rev 72/91) <br />Proprietor's Signature <br />A DMUM of San 10aqum Ca m Hdth Cj Se CM \ <br />