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PUBIC HEALTH SEF7ICES n <br /> MNIOAQuNCgM N <br /> IOGIMANNAOD.APIL <br /> Hnhh0ll@a <br /> PO.a-too,•(Oiiat.ltss<. )�4aLOa.(5114'nm 9520r <br /> (.)4�a <br /> ADMINISTRATIVE HEARING AGREENMNT <br /> DATE <br /> FACILITY <br /> ADDRESS yyoS PdGTC (N�WKU/R cS/OCICfAYI <br /> OWNER/OPERATOR 66+,aI o/ YPF�ZY LQ f �✓ <br /> San Joaquin County Public Health Servicw-Environmental Health Division Represeatauves: <br /> �YJ�,� ,Pfil �,. U..eu 1:..:. Re✓s .o--� '�. �6z/ .Hrs3 <br /> ( hereby,agree as bave all violations per inspection <br /> report(.)dated pertaining to the above referenced <br /> facility/premises corrected on or before .(Ali reinspeaions <br /> will be assured at a rate of S78.00 per hour.) <br /> I further agree that said violations maybe detrimental to the public health and/or safety and <br /> will prevent these violations from recurring I understand that failure to comply wish this <br /> agreement vr]l result at further legal remedies and/or may result m the closure of my facility <br /> through smiseasio¢or revocatin¢of my Environmental Health Permit. <br /> COMMENTS: <br /> 96 <br /> ® �' Give /,✓;n �...Gr �- C 9-.✓n JCxnlc —�—11 a --p <br /> &a nvoefl..V u.ei.�/ •�•+ <br /> Pvpnemr4 Signarvre <br /> EH Wa2Gen (1 a 8111M) <br />