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PUBLIC HEALTH SERVICES <br /> .dV�~ <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. �1 < <br /> Health Officer <br /> P.O. Box 2009 . (1601 Last Hazelton Avenue) Stockton, California 95201 oNN <br /> (209) 468-3400 <br /> I <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> ENV1t�NM�Ef�^11GtH <br /> DATE 2 — /e'/—Zo �aMtt <br /> FACILITY /� io ,S , ( 'a l Z�2 PILL <br /> OWNER/OPERATOR <br /> PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVE 0 ___7_//„�s,� <br /> a cP NF/Lr X74 C , hereby, agree to have all violations per inspection <br /> Wpers=*s”ked Q 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��� � �r�vyr : <br /> 'G( /r/.z.,, Y—o'U' <br /> C'- -UOvk C&",t124 /-e11' <br /> A Division of San Joaquin County 1leahh Cure Services `� <br />