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PUBLInEALTH SERV10ES - U1 <br /> SAN JOAQUIN COUNTY 0 . <br /> 2' <br /> ENVIRONMENTAL HEALTH DIVISION .� <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 •., :.•�P <br /> 209/468-3420 F o a <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE ,3-",-q& — 27 <br /> FACILITY (/z Is <br /> ADDRESS _ P <br /> OWNEWOPERATOR o 6,, ,,,`, <br /> San Joaquin County Public Health Services-Environmental Health Division Repres ntatives: <br /> hereby, agree to have all violations per inspection <br /> report(s) dated Z-�-�1�1 pertaining to the above referenced <br /> facility/premises corrected on or before 4-2l0 —gi (All reinspec tions <br /> will be assessed at a rate of$78.00 per hour.) <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. I understand that failure to comply with this agfeement <br /> will result in further legal remedies and/or may result in the closure of my facility through <br /> suspension or revocation of my Environmental Health Permit. <br /> CONIMENTS: <br /> ht' -Q in (�6Y✓l /ia.K o '{-D m arm (522^c� <br /> WOOLSEY OIL, INC. l`' ` <br /> oprietor'S Signature <br /> �V,0�CAA <br /> DALE A. HEINZE <br /> RETAIL MARKETING MANAGER <br /> 166 Frank West Circle,Stockton,CA 95206-4098 — San Joaquin County Health Care Services <br /> 209/948-9412 Ext 15 -Toll Free 800/266-3782 - Fax 209/948-0755 <br />