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BOARD OF TRUSTEES SXN JOAOUIN LOCAL HEALTH DISTRICT SERVING <br /> City of Lodi <br /> James Pres. <br /> Mary Annanna Love, <br /> vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> San Joaquin County <br /> Patricia E.Vannuccl,Sec'y. <br /> calon <br /> Tommy Joyce Stockton, California 95201 City Ea <br /> Earl Pimentel City off Manteca <br /> Virginia Mathews (209) 466-6781 of Ripon <br /> Daniel L Flores Cityy oof f Stockton <br /> John D.Mast,M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE T6 <br /> FACILITY (A)EST LaN'E f2 Tal I <br /> OWNER/OPERATORj� �L� <br /> SAN JOAQUIN LOCAL HEALTHH� DISTRICT REPRESENTATIVES <br /> StJ.D cUtsinc �rtfYa�'iaJ/ann� .rztVl S1' ni�ritw� �a�ev��c�v .�is���ariii,+� <br /> hereby, agree to have all violations <br /> per inspection report(s) dated 1a' Iskg(o pertaining <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 PROPRIET'/O///R y- <br />