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BOARD OF TRUSTEES SAOUIN LOCAL HEALTH DIST SERVING <br />Jamas CYb4 <br />won, Praa. Ctty of Lodi <br />Mary Atme Low. V1oa Pm. 1601 East Hazelton Avenue, P.O. Box 2009 Sen Joaquin county <br />Patrick G Vannucc , Sac'y. San Joaquin county <br />Tommy Joyce Stockton, Caltfomla 95201 City of Escaion <br />Cay of Mantaea <br />Eart plaw s City of Ripon <br />Vkglnfa Mathavn (209) 466-6781 City d Stockton <br />Dans L Flores <br />JoD. Mas, M.D. Jogi Khanna, M.D, M.P.H., DlDistrictHealth Ofkw City of Tracy <br />hn <br />San Joaquin County <br />ADMINISTRATIVE HEARING AGREEMENT <br />DATE /— /,6-9F <br />FACILITY A L. SF 1CIN C ) 160 E M S -Weyer <br />OWNER/OPERATOR R,poI0G2'ir �, _ Nei/ - G r i j — �� th .C4'00 <br />'11 1-�PrM 1 l�'� r1 /`� t1�C G +--��'/' GatJ <br />SAN JOAQUIN LOCAL HEALTH DISTRICT REPRESENTATIVES LAmr/� <br />Su r✓ SA -^'4 %t -';&PN I 001VU, {%ranj- Ir S'ati�iavtaH ��I� �Hn R. S, <br />I, ' 1 t G r I A lv0. hereby, agree to have all violations <br />jlG.MVieW pertaining <br />Per - - -- t- s) dated S �� D — $$ P g <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 PROPRIETOREJ�-�% <br />