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ARD OF TRUSTEES SAN VAQUIN LOCAL HEALTH DISTRI10 SERVING <br /> TWO CV*"KtW%Pries. City of Lodi <br /> ary Anna Low,vice Prot. 1601 East Hazelton Avenue,P.O. Box 2009 Son <br /> n� y <br /> artca L vannucd„Siec'y. JCount <br /> &my Jay" Stockton,California 95201 City of Eacaion <br /> :art Pinter" CRY of Mantoca <br /> Arlinla Matl»ws (209)466-6761 Ctty of Ripon <br /> Dar"L Floras Ctty of Stockton <br /> iolm D.Mast,M.D. Joyi Khanna,M.D,M.P.H.,Dfatrkt H"M Oflkw City of Tracy <br /> San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE <br /> FACILITY <br /> OWNER/OPERATOR _ Uo b Ga-4-l` <br /> SAN JOA UIN LOCAL HEALTH DISTRICT REPRESENTATIVES /� a <br /> I , G --6 6 I hereby, agree to have all violations <br /> per inspection report( s ) dated ,2-/6-FS� ---- pertaining <br /> to the above referenced establishment corrected on or before <br /> _l o- I tf- 8 <3 <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 /> C� w h e,,+-- w i ! f 9.e._ imf I e Mem +-f v1 C a n 1' a-F A <br /> y�e,Ce I veJ I q g r,_C-r si DY1 r 1°� 00P � ��n k - <br /> ©w rye r- - 5 v 19 W11 t ,r-e s u a T jar-:C_ 5 1'0 r -Fe-5`I— -FO <br /> r-�- <br /> oov 6AL �resQ I -fink �'v—I4�� 8� 1 CVar+er' yK <br /> G V <br /> w.;Yl el tCJ' fo <br /> - ro^ 5�ioGkfao+n <br /> SP.tr Vr'ce- 5-f-�;f-r'o YI pv� r - 0-I+rs vy)adc- -/o -f z�L <br /> c� -finh' <br /> V1, 11 5umi'4— by <br /> vcrl �y <br /> Ian uIr-t+(✓i thO-A 4 1 GAS , Loa- ! ost ro vi - �I or 10 1 1" <br />