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ENVIRO . ENTAL HEALTH EPARTMENT <br /> ° SAN JOAQUIN COUNTY <br /> o <br /> r 2 Donna K.Heran R.E.H.S. Unit Supervisors <br /> X 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> cq :w� NSP• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> T. Laurie A.Cotulla,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Mark Barcellos,R.E.H.S. <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE: �Q 15 1+ <br /> FACILITY: ► i�.cs <br /> ADDRESS: q 1�� �� ln'1(So.- l•.�a y , 54ock+0, C,4 952.o c <br /> OWNER/OPERATOR: Mf, ,� ..— ja�teroa /Ms. SI VIA C�c..TlGry� <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT REPRESENTATIVES: <br /> Ro6�.- - G�e,�(o� Arw��"' �L�aa(`-�.s _ �rx..k �-i+� � �1' •-I K,4L, Am 1.CC, <br /> l <br /> hereby, agree to have all violation(s)dated -611610L+ <br /> pertaining to the above referenced facility/premises corrected on or before !��t.{ �o <br /> T <br /> )' <br /> I further agree that said violations may be determined to the public health and/or safety and will prevent <br /> these violations from recurring. I understand that failure to comply with this agreement will result in <br /> further legal remedies. f <br /> COMMENTS: Pave- w�sI-z '-Fire.; M—.*VCJ LV c► (PMi <br /> �CsT� �'�rQ L1A�.�aY Qh 1�l�D C�m.i o-t; �JG�� i►+t. <br /> 4.G u l d,. �t s-�'.,�-1,'e.•.. �o �y 11- ha�,I �..�as fi� -�'i res w i-l-G.e�,.,l- <br /> Proprietor's Signature <br />