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BOARD OF TRUSTEES S• JOAQUIN LOCAL HEALTH DIS•CT SERVING <br /> James Culbertson, Pres. Chy of Lodi <br /> Mary Anne Lore,Vice Pr". 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannuccl,Secy. Sen Joaquin County <br /> Tommy Joyce Stockton, California 95201 City o4 Escalon <br /> Een Pknantel City of Manteca <br /> Virginia Mathews (209) 466-6781 Chy of Ripon <br /> Daniel L Flores City of Stockton <br /> John D.Mast,M.D. Jo94 Khanna,M.D.,M.P.H.D4.Wd Hasten Of cal' Ctty of Tracy <br /> San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE —2 3—''Se,,3 <br /> N <br /> ESTABLISHMENT _ mGLl1 * �161 e h 5 Nlari ria 1.5135 �11er7d QjQ + 1'll Ie Rd• <br /> PROPRIETOR I )aV I d M • Svvl j tPl 1 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT REPRESENTATIVES L-ayo B Coq-ulla, <br /> S5 ex ✓I S I n !1! fG ! ! GLYI l)on CFai I Il /U SGLYI I Lt 1LL1� <br /> l o-!^lin ✓lolls X, 5' <br /> Ir Q • s it{1 hereby agreee to have all violations <br /> per inspection report( s ) dated pertaining <br /> to the above referenced establishment corrected on or before <br /> I further agree that said violations are detrimental to the <br /> public health and /or safety and will prevent these violations <br /> From re-occuring at the above referenced establishment. <br /> Failure to comply with this agreement will result in furt_hor <br /> legal remedies . <br /> SIGNED BY PROPRIETOR <br /> k7 <br /> �u_nn A9 <br />