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PUBLIC HEALTH SERVICES <br /> P <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 . (1601 Easr Hazelton Avenue) Stockton,California 95201 <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE 7 2 q <br /> FACILITY �oc }� �n r - -} S - "5TACzm -�l N L <br /> OWNER/OPERATOR S '� btS-jq fCT <br /> PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES LQIlSoti, �u o - Ai <br /> S1C� _ FAVI LA <br /> cta Plpsr- S <br /> I fir- hereby, agree to have all violations <br /> -3 S <br /> kal 02l 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 <br /> a T�Nk l - 5ov t`-t . (In u6r+-qnV-) <br /> �) (WI of A- LuP j H+ , LE:R•e,r s} �tncJ. Uuheli,er <br /> v .Proju& u-Qs 105t,, l m d whaaf Cc>rr-echF n s <br /> m QG4�e <br /> -r o Pa SS p�e use oY, -w-st <br /> >a) Sv6mjA- cts - but 14- 9a� s -�Vr <br /> D TRk)k z <br /> MMti+C r1� clieYAahvC., (,611f be- O pro�rices <br /> �' p��ntnrJ '!-�i? ir, ver�4� Ctmfrc�L • 02 <br /> b� 1�2c�v pE CDsef6rm C- <br /> t�rn�.�., Pt-A-+J 4 rj P ndev- <br /> A Division of San Joaquin County Health Care Services 0 <br />