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PURLiC HEALTH SEISICES ,orQUIN. . �o <br /> SAN 101QUIN COUNTY < r < <br /> JOGI KHANNA J1.D . SLP H. <br /> Health Officer' <br /> P.O. Box 2009 • ( 1601 East Hazelton Avenue) • Stockton, Caiifomia 95201 9c � kbe'' <br /> ( 209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE 41w1us_-, 1/ 19�/�� <br /> FACILITY I/infia y e (�� G�aSti <br /> ADDRESS 7 / �5 / "lGC( i r erLu�� JA2<76ft4 <br /> OWNER/OPERATOR E5+Cde� of 00eY ClQrwth?inG7T"V - <br /> San Joaquin County Public Health Services-Enviromnental Health Division Representatives : <br /> I, hereby, agree to have all violations per inspection <br /> I report(s) dated pertaining to the above referenced <br /> facility/premises corrected on or before (All reinspections <br /> will be assessed at a rate of $78.00 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 : <br /> 7 / P �o � <br /> Proprietor's Signature <br /> EH 0042.Gen (Rev 8/11/93) <br /> o,,;s,on of joaqum omm Hewes ( :ter , me, C } <br />