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PUBLI HEALTH SERtICES <br /> SAN JOAQUIN COUNTY 2'' •o? <br /> a: •a <br /> ENVIRONMENTAL HEALTH DIVISION y: <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 445 N. San Joaquin Street • P. O. Box 388 • Stockton, CA 95201-0388 <br /> 209/468-3420 <br /> POULTRY FACILITY HEARING AGREEMENT <br /> Date: 6 <br /> Facility: 4 <br /> Owner/Operator: <br /> San Joaquin County Public Health Services Environmental Health Division <br /> Representatives: Violations noted: Civil Code Section 3480, Business and <br /> Professions Code Sections 17200, 17203, 17204, 17206, and San Joaquin County <br /> Ordinance No. 877. <br /> I, K , hereby, agree to have all violations per inspection <br /> report(s) dated I® 3 , pertaining to the above referenced facility corrected <br /> W- <br /> on or before D (All reinspections will be assessed at a rate <br /> of $78.00 per hour.) <br /> I further agree that said violations may be detrimental to the public health and/or <br /> safety and will prevent these violations from recurring. I understand that failure to <br /> comply with this agreement will result in further legal remedies and/or may result in <br /> the closure of my facility through suspension or revocation of my Environmental <br /> Health Permit. <br /> COMMENTS: t) 2 Q <br /> MAA , <br /> • ! <br /> 4 f <br /> o-•-t a—�. 1 l <br /> l S , <br /> Proprietor's Signature <br /> 4*� <br /> cwt <br /> A Division of San Joaquin County Health Care Services ��/' /• / <br />