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ENVIRON ENTAL HEALTH PARTMENT <br /> SAN JOAQUIN COUNTY <br /> 2. �•—u y Donna K. Heran, R.E.H.S. Unit Supervisors <br /> Director 304 East Weber Avenue,Third Floor Carl Borgman,R.E.H.S. <br /> Laurie A. Cotulla, R.E.H.S. Stockton,California 95202-2708 Mike Huggins, R.E.H.S., R.D.I. <br /> • Douglas Manager ram <br /> Pro las W. Wilson, R.E.H.S. <br /> x g Telephone: (209)468-3420 g <br /> Margaret Lagorio,R.E.H.S. <br /> Fax: (209) 464-0138 Robert McClellon, R.E.H.S. <br /> Website:www.sjgov.org/ehd/ Jeff Carruesco, R.E.H.S. <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE: J uwr- o <br /> l <br /> FACILITY: ,V.-C. Haw(e, RQC*C l ar-S <br /> ADDRESS: (ott31 C 1en,4-s )Zocta L-f-O. _ GA 1?5Z1 S <br /> OWNER/OPERATOR: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT REPRESEN{{TT. ATIVES: <br /> I, Cj��„ f/`'� i v,.,,.,�� , hereby, agree to have all violation(s) dated ,�pa-7 06 <br /> pertaining to the above referenced facility/premises corrected on or before <br /> ection <br /> I further agree that said violations may be determined to the public health and/or safety and will prevent <br /> these violations from recurring. I understand that failure to comply with this agreement will result in <br /> further legal remedies. <br /> COMMENTS: Ef-{U exo5,4-(,nA sycn6k- _. 4c> -fL� <br /> i0 pa-�.�o.— �f o,o c,-•.'�w- a a rr�s -�o .�� /I o..,-F- G'i—(_s <br /> df -I-i'er" a+ <br /> Proprietor's Signature <br />