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ENVIRO ENTAL HEALTH EPARTMENT <br /> SAN JOAQUI <br /> �o._ .co N COUNTY <br /> 2r` +--■�– y Donna K. Heran, R.E.H.S. Unit Supervisors <br /> U): :� Director East Weber Avenue,Third Floor Carl Borgman,R.E.H.S. <br /> IL ' Laurie A. Cotulla, R.E.H.S. Stockton,California 95202-2708 Mike Huggins, R.E.H.S., R.D.I. <br /> • Program Manager Douglas W. Wilson, R.E.H.S. <br /> Telephone: (209)468-3420 <br /> eiFoa Margaret Lagorio,R.E.H.S. <br /> Fax: (209) 464-0138 Robert McClellon, R.E.H.S. <br /> Website:www.sjgov.org/ehcl/ Jeff Carruesco, R.E.H.S. <br /> ADMINISTRATIVE HEARING AGGREEMENT <br /> DATE: l o � <br /> FACILITY: Gb2 � d-ib `Or-02- ca 01 1y'ey"Ci <br /> S,ADDRESS: I (2� , l7 Co.q <br /> OWNER/OPERATOR: E wl l! I0(('0 Z Cy O 1 i✓e ro. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT REPRESENTATIVES: <br /> / ickae l Kl�-k , I evin"Fer u,iz Sylvia l Ii��s w�r� h• <br /> 1, EM j Qd i O NOZCOPei h2reby, agree to have all violation(s)dated <br /> pertaining to the above referenced facility/premises corrected on or before o/1q Lo lP <br /> (All FO iA-rQGflnWS �41;11 bp agge'r,&O"a rntp nf"'l 00 pez haur)—J� <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: 0WIle,- 1911 0-4u 6A1c 4;C::4 5 � 393 tti1Cf <br /> e h a+n,I &16 -e l ' u fire Se-Se-P Ot <br /> icea 1WCL61 ke ct.t 5 All ce1 tear; <br /> e 'e 0S yVle-e SUn Apr Qtv-rkaSf1 OF i-?fe <br /> S 0-t a- <br /> Y" ro Pi'u -Al- Pw/I , A4 r, 01i Jera lisfires a t Flect 4 <br /> a tid Stores 1'(n2vy1 in o, Jav, of his home . YYil-, 01�vera K4 s <br /> v a S n ls) WoLslelir r rarvl bro r- a-kidSI Vicx l- <br /> v&l r-1 av a .e a Jer iS�Ya fia aS S- <br /> a a );CVdion Wct3 -Je✓'a aS <br /> ree .e i r i Sher a<1Va wa -e fire hau lev- or haktlel) <br /> ari. 4ili" 4ir S i Ra t, 0 -&q Or reafer. <br /> 6Proprietor's Signature <br />