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Y <br /> PUBLIC HEALTH SERVICES �pQV!N <br /> SAN JOAQUIN COUNTY r. <br /> JOGI KHANNA M.D.,M.P.H. " } <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton, California 95201 <br /> � FOA� <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE a Of <br /> / <br /> FACILITY ��� Gj��u yj o� <br /> OWNER/OPERATOR L&tttA l h�!/rr3i%G <br /> PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES J7OlXn (t� Sun ' Snaso2� R•�ul 5 , <br /> FA\)i,LA — �taz i �w,cP Ip�I� 1tti RPSI� - i� klS <br /> I, L OUTS F RAVJZ l A hereby, agree to have all violations per inspection <br /> report (s) dated (p -2-y --&S CnL4 i}e-m IlSW hely pertaining to the above referenced <br /> establishment corrected on or before ocfn j{Yj ei-- r)- l qg 9 <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 f <br /> proms kip +es �Q <br /> U�r�ro�„�,� I-e�,4z��e �- F(a.f�,�,r2b►e °I-- Cc�u.Jo�s�-ibl� 1_.,���J,cts <br /> '1,tAnc,Q <br /> S+U'ct�e tk . C1�1rE` N c� Lt 41 SWe- y Cabe sec-FIM <br /> GC"( 2/ /19dy) <br /> A Division of San Joaquin County Health Care Services �' <br />