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PUBLR <br /> HEALTH oA4u�k•.c <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> e: :e <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer9 :P <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 c ¢ORa <br /> (209) 468-3420 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE -lam � <br /> F'ACILIT'Y F.r{ cf-f=ra e( <br /> ADDRESS 3032 f 3a7tzriep <br /> T <br /> OWNER/OPERATOR <br /> San Joaquin County Public Health Services-Environmental Health Division Representatives: <br /> L.T: %R�iaGs ��-, �� ��� ��� Tei n� (����a�✓ rz.�•s <br /> I, hereby, agree to have all violations per inspection <br /> report(s) dated 2-y1 G t,- /0Zl9 5: 2�3T R� pertaining to the above referenced <br /> facility/premises corrected on or before ;>'��R�' . (All reinspection <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 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 I (2an (,t_1i I 1 �k s vbro i--ft-szd 4o +t)`l-s cr4"ce <br /> - -fine L�Jas-r. ntab!..f �r-i 1 30 1 QRS. <br /> / i <br /> (( Proprietor's Signature <br /> EH W42-Gen (Rev 8/11x93) <br /> A Di%i.ion of San.Joaquin County Health Care Service, <br />