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PUBLIC HEALTH SERVICES <br /> �P • C <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. ?� ` <br /> Health Officer <br /> P.O. Box 2009 . (1601 Bast Hazelton Avenue) . Stockton,California 95201 <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE U Ze+ . 19801 <br /> FACILITY <br /> OWNER/OPERATOR 1W, e Cl� SCHOOL. L(S 12tC.1 <br /> PUBLIC HEALTH SERVICES OF SAN JOAOUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES U)11 Sofa �,oe,rv�sc3r 11�ItitE 1= VtL� <br /> hereby, agree to have all violations <br /> aP I�scQ _In 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 7- d4 - <br /> C f-es�> C cs e>a� ��s�J e z /,?ago 5; <br /> / ® 0,; fes, 7 <br /> G, s seo,) <br /> A Division of San Joaquin County Health Care Services <br />