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oRqu t�y,.c <br /> PUBLICliEALTH SERVICES <br /> SAN JOAQUIN COUNTY ?, <br /> ENVIRONMENTAL HEALTH DIVISION ` <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer . P <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 gC�FOR�a� <br /> (209) 468-3420 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE W <br /> FACILITY 02- (o <br /> ADDRESS 3032 CA)n-Fel®® I f2uC;' <br /> OWNER/OPERATOR <br /> San Joaquin County Public Health Services-Environmental Health Division Representatives: <br /> L.T. Rt�IGG� �eni�r' Y�><�1-d5 - T=el e� Lprr3u�/ S <br /> I, . hereby, agree to have all violations per inspection <br /> report(s) dated 11 g t. 9_ 2�3 `( pertaining to the above referenced <br /> facility/premises corrected on or before tb1qf- . (All reinspection <br /> will be assessed at a rate of$78.00 per hour.) <br /> I further agree that said violation may be detrimental to the public health and/or safety and <br /> will prevent these violation 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: A C(tx to re plan to; I l lor -,Ubm r 4imc) 4o +,'I.5 dq�`cP <br /> -trrr ffne t�7CtS't'G ni 1 -tank &i A i) 3c i 2c?!5 <br /> Proprietor's Signature <br /> EH W42.Gen (Rev 8/11/93) <br /> A Division of San Joaquin County Health Care Services <br />