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PUBdC HEALTH SE ICES <br /> •.OG <br /> SAN JOAQUIN.COUNTY _ z <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br />! P.O. Box 2009 (1601 East Hazelton Avenue) • Stockton,California 95201 FOR f <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE <br /> i <br /> CONTRACTOR <br /> ADDRESS WHERE VIOLATION OCCURRED <br /> SAN JOAQUIN COUNTY PHS/EHD REPRESENTATIVES eGtIS I <br /> i <br /> hereby agree to have all violations <br /> i <br /> pertaining to the above referenced address corrected on or before <br /> I further .a ree that sa-id violations are detrimental to the k <br /> g publ i.c health. <br /> and/or safety and will prevent these violations from re-occurring i.n San <br /> Joaquin County. Furthermore, T agree. to fully comply with all the <br /> requirements of San Joaquin County Ordinance J1862 and no Ify San Joaquin <br /> County PHS/EH.D forty-eight (.48) hours in advance o pe form ng any work. <br /> Failure to comply with this agreement will ult rthe leg remedies. <br /> s <br /> i <br /> SIGNED <br /> I <br /> ©Z) <br /> n <br /> 1'e.r m a f f l cc,--k 0-y.— 4- -V <br /> eGe 1 T Tor C O m -- b r a r\ e A s'6+ems,e-, ` ka-+ <br /> C L <br /> . I <br /> i <br /> i <br /> i <br /> I, <br /> A Division of San Joaquin County Health Care Services <br />