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2900 - Site Mitigation Program
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PR0542364
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/4/2020 3:40:49 PM
Creation date
5/4/2020 3:01:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0542364
PE
2960
FACILITY_ID
FA0024340
FACILITY_NAME
PACIFIC CAR WASH
STREET_NUMBER
4405
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11024014
CURRENT_STATUS
01
SITE_LOCATION
4405 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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i <br /> ALTH SERVICES <br /> PUBLIC h <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION m. <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer � •,�4 , ;p • <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br /> (209) 468-3420 � O <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE J01y Z5 , / 99 <br /> U <br /> FACII.TTY � �lQ Uq Yl t 12�v �/ Car UVuv� <br /> ADDRESS <br /> OVINER/OPERATOR nkn 0. hn�; C/� LhilLCQRDOS <br /> San Joaquin County Public Health Services-Environm <br /> 1�e <br /> �pntal Health Division Representatives: <br /> �a �� �e6u Senier � • I; NS • I�Q {Yl VIDwI Vttrn' 12 E• •$ • <br /> I, . � n_ hn �4nS hereby, agree to have all violations per inspection <br /> report(s) dated 5� Lq- (pertaining to the above referenced <br /> facility/premises corrected on or before ���Ciy (All reinspections <br /> will be assessed at a rate of 578.00 per hour.) <br /> I further agree that said violations may be detrimental to the public health and/or safety and <br /> will prevent these violations from recurring. I understand that failure to comply with this <br /> agreement will result in further legal remedies and/or may result in the closure of my facility <br /> through suspension or revocation of my Environmental Health Permit. <br /> COMMENTS: ( t <br /> � Ie� i.�-her �-f� dat,s �,�. �71v�k ir,tfrrrf-c1 Ps-1- mir=rf- l4e- <br /> 1tQeytc'('a'S <br /> l nn -t -I'2cky-) Kyles /r�In a 'r'2`1 <br /> a m nu � r-� v��s ra r3 ,r <br /> (1 �vr f <br /> muc;-E eoio-t1lgPdrp ujl irn IOS `Yuko pt"1� 0 . � -f- the inn Ic- <br /> h40 r , tanlcs dc) mea ss +Ken a plan mo�;f Ve soyIia <br /> co E itn -, Cao (IaArS nwr- ( Q,'ls da -fe . <br /> Pro ' tor's Signatures <br /> EH 0042.Gen (Rev 8/11/93) OddC������ <br /> A [N% isiun of San Joaquin County Health Care Services <br />
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