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4 <br /> aOARD OF TRUSTEES SAfWAQUIN LOCAL HEALTH DIST* SERVING. <br /> Jaen+e Cof wtson.Pres. City of Lodi <br /> Mary Arora Love,Vloe psi. 1601 East Hazelton Avenue,P.Q, Box 2009 son Joaquin County <br /> Patch Lf.Vannuecl,Secy. San Joaquin County <br /> TOM"Joyoa Stockton,CafHomla 95201 city of Eacalon <br /> Earl Purm" City d Manteca <br /> WgWa Mathews (209) 466-6781 Ctty of Ripon <br /> Dan"L Fkxvs City of Stockton <br /> John D.Mmik M.D. Jogl(Khanna,M.D.,M.P.)' tHstrkt Roatth Officer City of Tracy <br /> San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE G 7�- r <br /> FACILITY Fa-6r'`I 0-a.fT 7 (X V, Jas Ul r 5+DGk+o ei <br /> 8WNE-R/OPERATOR t� �j�./' � 7T a n o <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT REPRESENTATIVES <br /> I , _ � P✓!' f)i?- f T a 110 hereby, agree to have all violations <br /> per 4-43S.-- tinn rnnnrf I c dated —Z -- 77 <br /> pertaining <br /> to the above referenced establishment corrected on or before <br /> Q CIL.. J I g8 <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 PROPRIETOR <br /> M �slel'► P ace <br /> �: � � ����. � -� � i � 3 -tom r <br /> Ht 5W 1, <br /> JT P �pnova <br /> UrTk n k Yy►a ,�� <br /> Go n tra Gfo I . GL <br /> Wo r IC jQ 4 a,1 I t3 ° - 11�ws t b-e-- s v'bm <br /> = r S© r bor-r 5 <br /> ftUs+ 0b-fz4 eyeCi Z' l <br /> �.. r rU-. 1< . C 1050 l� Gt-Yl a Yl c� torr n c��f fC P fail 5h ak <br />