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PUBIC HEALTH SE&CES <br /> P <br /> SAN JOAQUIN COUNTY r <br /> Q: ? <br /> JOGI KHANNA M.D.,M.P.H. " <br /> Health Officer - <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton,California 95201 c"e'FN�P <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE <br /> FACILITY f �.���C Nbirk2 7' r��� S �l 4> % F'- �D /�r vPr� E C4 <br /> OWNER/OPERATOR Allo,?(' 44, <br /> PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES ,zc h, ��ti , 5t o U 4, 6f 1 <br /> I, /rlG sigf.�r hereby, agree to have all violations per ' n� <br /> J <br /> re {sj-dated /) -G{--� 5 pertaining to the above referenced <br /> establishment corrected on or before 0 <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 ✓ ^ S / <br /> �� S'�GruurE? <br /> fps — vaJ, 16y <br /> Celt) <br /> �r fees �U td low S.f� 710r <br /> lo4 /J 9 y e A-�r�dd 4y lk �uwP�, j lege r �saY3 <br /> ✓ /�X� A Division of San Joaquin County Health Core Services ' <br />