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PUBLIC HEAL <br /> TH SERVICES <br /> o �o <br /> SAN JOAQUIN COUNTY <br /> a: <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> r p <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton,California 95201 S� Fc,. <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE (�— a� —`fO <br /> FACILITY <br /> OWNER/OPERATOR <br /> PUBLIC HEALTH SERVICES O SAN JOA6� NCOUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES G,.�, `z�; <br /> I> hereby, agree to have all violations per inspection <br /> report (s) Led pertaining to the above referenced <br /> establishment corrected on or before 90 <br /> I further agree that said violations may be detrimental to the public health and/or safety and will <br /> prevent these violations from recurring. Failure to comply with this agreement will result in further <br /> legal remedies. <br /> SIGNED BY PROPRIETOR <br /> © <br /> ©a� <br /> A Division of San Joaquin County Health Care Services ' <br />