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PUBLIt HEALTH SE VICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <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 oq�'FOR��P <br /> 209/468-3420 <br /> POULTRY FACILITY HEARING AGREEMENT <br /> Date: M A V al- <br /> Facility: <br /> lFacility: SK SE�►�-�.�r Dh_� S!ic :LW Cor ''P o` -A�C�-o <br /> 23109 -T �D <br /> Owner/Operator: MtK S F-tj Vvor Dom: s S Am coy, 00 AN—c D <br /> [ALAS <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, J Gri Afx s C , hereby, agree to have all violations per inspection <br /> report(s) dated 5-4-95 , pertaining to the above referenced facility corrected <br /> on or before (u34-9 S . (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 -VS\S VN:: .�T gni.\\ 10£ Vk NL," n,1,3 VX <br /> DrOtoPrT�ntl © pN Pt-ANNiail L A-WC `2� VOAiNQ ii�rSt �3�ohf,S <br /> -1g,0(> Q v N4 ©c—"Sy <br /> ILN <br /> w-tNv+ %)Sa <br /> IV w 1QgS. Proprietor's'Signa e <br /> 7 <br /> A Division of San Joaquin County Health Care Services <br />