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PalrldaCVarwNrocks"-y. �..._. _.._...__..,..,�......�, .....,..,.,,.,� <br />Stockton, CalHornia 95201 <br />*048 Mathews <br />DanM L Florae (209) 466-6781 <br />John D. Mast, M.D. Joel Khanna, M.D, M.Plf, DM41d Heaith oMcar <br />ADMINISTRATIVE HEARING AGREEMENT <br />DATE //-"r <br />FACILITY <br />OWNER/OPERATOR <br />San Joaquin county <br />San Joaquin County <br />city of Eacalon <br />city of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin Counly <br />SAN JOAQUIN LOCAL HEALTH DISTRICT REPRESENTATIVES .-Laurie a 1 lla <br />-5uQer\/is�vlcl 54n1+or-,rirt hl, ,.,.. �o.� C ,l_ <br />a y7 <br />I, -/% DC(t�� hereby,/agree to have all violations <br />per inspection report (s) dated /L 29 /9ff pertaining <br />to the above referenced establishment corrected on or before <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 13Y I'R0PRlt3'P0R <br />A�i���¢: <br />