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H SEkVICESPUB C HEALT <br /> SAN JOAQUIN COUNTY 2 \ % <br /> to :< <br /> JOGI KHANNA.M.D.,M.P.H. <br /> Health Officer o ;P <br /> P.O.Box 2009 (1601 East Hazelton Avenue) • Stockton,California 95201 v�/FORN <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE 5130190 <br />'r <br /> Wcar"l-sxe m C' —C4 <J7�_ <br /> ADDRESS WHERE VTOLATION OCCURRED <br /> SAN JOAQUIN COUNTY PHS/EHD REPRESENTATIVES <br /> U <br /> I <br /> hereby agree to have all violati.ons*_, . <br /> i <br />! pertaining to the above referenced address corrected on or before <br /> I further .agree that said violations are detrimental to the public health. <br /> and/or safety and will .prevent these violations from re-occurring i.n San <br /> Joaquin County: Furthermore, I agree to fully comply with all the <br /> requirements of San Joaquin County Ordinance #1.862 and notify San Joaquin <br /> County PHS/EHD forty-eight (48) hours in advance of performing any work. <br /> Failure to comply with this agreement will result in further legal remedies. <br /> r SIGNED <br /> II. ii <br /> (� I f <br /> CP Mit a v\A �j Vy1{ 0.C—'6 P' v 9 1 1-i c_a:�r 01- <br /> I <br /> I <br /> A Division of San Joaquin County Health Care Services <br />