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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P H. <br /> Health Officer • cq. <br /> P.O. Box 2009 (160] East Hazelton Avenue) •Stockton,California 95201 ��F6* <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE 42-6'92. <br /> FACILITY i107 ia✓vt.z �}Ctderfi�iticf CG» u <br /> ADDRESS 20Sa tr:in_Gr»D✓ <br /> OWNER/OPERATOR GERY 0671Z <br /> San Joaquin County Public Health Services-Environmental Health Division Representatives: <br /> Lead �Uoe- tt'EH-Shn(c� 9� SEIfSy P 1/0j_r-7-r <br /> I, Gn r- I V 1(f hereby, agree to have all violations per inspection <br /> report(s) dated 4-/0 -9Z pertaining to the above referenced <br /> facility/premises corrected on or before (All reinspections <br /> will be assessed at a rate of $53.00 per hour.) <br /> I further agree that said violations may be detrimental to the public health and/or safety and <br /> will prevent these violations from recurring. I understand that failure to comply with this <br /> agreement will result in further legal remedies and/or may result in the closure of my facility <br /> through suspension or revocation of my Environmental Health Permit. <br /> COMMENTS: J' nnrmr uS;-Fa r rvrA t oq In Cc (i(Ln ic' Hi-S Cbdj tbn <br /> 2528Z or St)bm,lP C/osvye plon -In mei n-4�ce' _}2l, o <br /> Qboy1° 4- hG v- U,�-T nr oed LAJ rf{n in '�W d_a,4 r, '2/0'r) <br /> C042rn vel `�aA 4 a OtA Cyr-(Q-f- 1DC7c-L- �'ce_s <br /> Pr netor's ktre <br /> EH 0042.0en (Rev 7/2/91) a <br /> A DM,im of San JoaquincounryHe lth c are Scmcm 10 <br />