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PUBLIC HEALTH SERVICESo. VIN <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer P!. <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) • Stockton,California 95201 9r' oPH <br /> (209) 468-3400 jvxvin <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE - /��- O Et IRMT1I <br /> FACILITY /y /p S , �a l /-120 PA/;O. <br /> OWNER/OPERATOR G _ � -6t- <br /> PUBLIC HEALTH SERVICES OF SAN ?OAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES <br /> It IAI)psS X5- �'a o- cPlNFI.L, ffC , hereby, agree to have all violations per inspection <br /> pertaining to the above referenced <br /> establishment corrected on or before <br /> I further agree that said violations may be detrimental to the public health and/or safety and will <br /> prevent these violations from recurring. Failure to comply with this agreement will result in further <br /> legal remedies. <br /> SIGNED BY PROPRIETOR X O, <br /> rh OS(1 [tie 4'" X) / / <br /> Q-eN.K..S C4'Gt-tom . <br /> k c� . <br /> A Division of San joagnin County nealIII Cure Services <br />