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BOARD OF TRUSTEES SANJOAQUIN LOCAL HEALTH DISAT SERVING <br /> City of Lodi <br /> James Culbertson,Pres. San Joaquin County <br /> P.O. Box 2009 <br /> Mary Anna Love,vice Pres. 1601 East Hazelton Avenue, San Joaquin County <br /> Patricia E Vannuccl,See'y. Cf of Escalon <br /> Tommy Joyce Stockton, California 95201 City <br /> Earl Pimentei f�{p-�_-_? ')o City of Manteca <br /> Virginia Mathews (209) 46 City of StoRipckton City of Stockton <br /> Daniel L Flores City of Trac <br /> John D.Mast.M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE 1rj�/ M <br /> FACILITY 75 E. HLP/NE 4,T 'Kmni <br /> OWNER/OPERATOR _ , jDPNNY Crr2iFFiAI <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT REPRESENTATIVES //a1/2fc-� OTuiL,4 <br /> I JnAy �yiy� hereby, agree to have all violations <br /> IL' t �'t --eul } f ` dated pertaining <br /> per iftspe_--- Eepo <br /> to the above referenced establishment corrected on or before <br /> I further agree that said violations may be detrimental to the <br /> public health and/or safety and will prevent these violations from <br /> recurring. Failure to comply with this agreement will result in <br /> further legal remedies . <br /> SIGNED BY PROPRIETO <br /> 44; <br /> OsaLm14- Pig& pt�ecls)or� su�� 4c- mks loy ;Z-/- srs; <br /> © !� +aAk c1�7'ky ��Sckedu e. ! riasiO .1y. > <br /> h� 30Qat/S_ <br /> Copy &� resw�6 LiAtf-\ tkits �r - <br />