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BOARD OF TRUSTEES SA,JOAQUIN LOCAL HEALTH DIST v:T SERVING <br /> Jam"Jamcuitrerlson.Pres. City of Lodi <br /> Mary Anna Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E Vannucci,Secy. San Joaquin County <br /> Tommy Joyce Stockton, Califomia 95201 City of Esaaion <br /> Earl Pimenta City ol Manteca <br /> Virginia Mathews (209)466-6781 City ol Ripon <br /> Dania L Flores City of Stockton <br /> John D.Mast,M.D. Jog!Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE b' 3- `!3Y // 1 � " <br /> FACILITY X3)5 Iv• <br /> OWNER/OPERATOR !V 0.-fP' a ✓1 S m o t7� <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT REPRESENTATIVES Noon P-fah <br /> r• Saw1��'�rK•a n <br /> I, NCa1 ia✓) Smoot hereby, agree to have all violations <br /> per inspection report( s ) dated pertaining <br /> to the above referenced establishment corrected on or before <br /> IV <br /> I further agree that said violations may be detrimental to the <br /> public health and/or safety and will prevent these violations from <br /> recurring . Failure to comply with this agreement will result in <br /> further legal remedies. <br /> SIGNED BY PROPRIETOR + W r✓ <br /> I , Fees -Far 86, g7 w 3 $ 4 alfy �er—S 40aid <br /> by V iy 1988, �� 6 � e, <br /> Perms -f A PIi c0. f ides -1-D be_. Med 5L,* avl c- <br /> Sv6mie JOY 198 - 11'' <br /> �. T►"'P l ern e✓I-f /Wo r, +0 a I-I-er ✓►a-bvf 7 X7111 a-4 <br /> P - -D r pr^e c�' s i 0 n 7e- <br /> AN sf CJ r-e ad sG 1u very i�a ivn <br /> Imo/ re ca 5 I o n --Co d vs+y e s for <br /> l 12 <br /> I Vl 4 a <br />