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BOARD OF TRUSTEES <br />Jama' c"'b• Free. N JOAQUIN LO <br />ama, ., . r "res, CAL HEALTH *rRICT <br />E vannurxl, See y. 1601 East Hazelton Avenue P. <br />TOn�ntY Joyce SE <br />Ead 0• Box 2009 <br />hro� Mathows Stockton, CaHlomla 95201 San �0aawfi� <br />D4nW L Flora San <br />John D, Mast, M.D. (209) 466-6781 City as EA <br />91 Khanna, M.D.. M.P.tt, p CRY of Man <br />btdct Health Officerph of Po <br />AMY of 8oc <br />" San Joaq� <br />ADMINISTRATIVE HEARING AGREEMENT <br />DATE 9 8 <br />FACILITY <br />OWNER TL J S�GcJ��c� <br />/OPERATOR <br />SANDi JOA r F2 �� <br />QUIN LOCAL HEALTH DISTRICT <br />REPRESENTATIVES <br />r :ectir <br />rper ins hereby, agree to <br />on report(s) dated have all violations <br />to the above_ <br />referenced establishment Pertaining <br />,J U/ 5 t /9R +corrected on or before <br />I further agree that <br />said violations may be detrimental to the <br />Public health and/or safety and will prevent these violations <br />recurring. Failure to comply with <br />from <br />further le this agreement will result in <br />gal remedies, <br />SIGNED BY PROPRIETOR r <br />bo Joe e.s <br />/ q <br />iosuIse— /yew f.1as ccJ reec{ -- <br />I YI Svbmij <br />- /(i G - <br />f ep <br />�% / 1 l DVC( <br />TVA 04e ,I� a bv-� o !1� - Irl e <br />Ne J 16lgsg) <br />wr / I Q � so 5�br,•,i-t r <br />rt%�2 ro os /0 -sure /041 <br />Vn C <br />d n4 a�{. (h '1 a 5.i/ 1,C r /19 5 -fo p( /_Ct <br />