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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544590
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/21/2019 1:50:58 PM
Creation date
6/21/2019 10:58:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544590
PE
3528
FACILITY_ID
FA0003932
FACILITY_NAME
KWIKEE FOODS
STREET_NUMBER
2081
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12315225
CURRENT_STATUS
02
SITE_LOCATION
2081 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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7 <br /> PUBLIC HEALTH SERV�ICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer ; <br /> 445 N. San Joaquin Street • P.O. Box 388 o Stockton, CA 95201-0388 t�ROR <br /> (209) 468-3420 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE aPrl , f l0/ <br /> FAC=Y )`GV/K.c°P� OGY,�Jr <br /> ADDRESS U r4N k(?X�Vr <br /> OWNER/OPERATOR 131 ;':bp 4e s Pei'" '- Ha'-llut <br /> San Joaquin County Public Health Services-Environmental Health Division Representatives: <br /> Ka:5-eq � Lear. -S Ipr ` = hu, V ae�4 5r- )PF-f15. <br /> Si f I P 4e+^5 <br /> Ro a 4i, I A hereby, agree to have all violations per inspection <br /> report(s) dated L'2-5'93 a6 noh� ,bQ Intl pertaining to the above referenced <br /> facility/premises corrected on or before MCUA�1, ia614 . (All reinspection <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 <br /> will prevent these violations from recurring. I understand that failure to comply with this <br /> agreement will result in further legal remedies and/or may result in the closure of my facility <br /> through suspension or revocation of my Environmental Health Permit. <br /> COMMENTS: A_2nMj5j -I-,a f( be Rarfi�imcr <br /> I�1'Y.)Q.✓�} l n ii�i J c��C`�l`���(s n kS �J�I S� � �1�[ (t'1.��' (Zn�'Cl <br /> 1 r D ! C-1 An QQ�kjtn�I 01 <br /> 1qt 1 <br /> `S f� <br /> e onsi�f II - the- US�s will bC � Oa f\ is a Ce <br /> Proprietor's S <br /> EH 0042.Gen (Rev 8/11/93) <br /> A Division of San Jouyuin County Health Care Services <br />
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