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PUBLIC�IEALTH SERVICES �A <br /> SAN JOAQUIN COUNTY , <br /> ENVIRONMENTAL HEALTH DIVISION ` <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> �CIFORd <br /> 445 N. San Joaquin Street • P.O. Box 388 * Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE ,�,,.� 14 <br /> CONTRACTOR/CONSULTANT �, � <br /> ADDRESS WHERE VIOLATION OCCURRED t,�0Yza Ly <br /> SAN JOAQUIN COUNTY PHS/EHD REPRESENTATIVES <br /> I agree to fully comply with all the requirements of San Joaquin <br /> County Ordinance Code Chapter 9-1115 and notify San Joaquin County <br /> Public Health Services, Environmental Health Division (PHS/EHD) 48 <br /> hours in advance of performing any work covered under this law. <br /> I understand that failure to comply with this agreement will result <br /> in further legal remedies. <br /> COMMENTS: r07 <br /> Signature <br /> 11/�}Z�_!.�� 1►� <br /> A Division or San Joaquin County Health Care Services <br />