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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br />(209) 468-3420 <br />ADMINISTRATIVE HEARING AGREEMENT <br />DATE <br />FACILITY <br />ADDRESS <br />OWNER/OPERATOR 13) 1 <br />Lb) b 6 <br />pe --k' �- <br />San Joaquin County Public Health Services -Environmental Health Division Representatives: <br />5�- /'d lam-/ Lead Senior a- Pam Vble44sr. <br />sill Pk*r5_ <br />hereby, agree to have all violations per inspection <br />report(s) dated ��'23�93 4 a6 noh)- bQ &J pertaining to the above referenced <br />facility/premises corrected on or beforeNIf�T196H . (All reinspections <br />will be assessed at a rate of $78.00 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 />II �✓ tht° 09T,`s Will be pm"J'd'6 +0{KIS a � <br />Proprietor's S <br />EH 0042.Gen (Rev 8/11/93) <br />A 1)kmon of San .loayuin County Health Care Ser,icea <br />