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l <br /> PUBLIC HEALTH. SERVICES <br /> SAN JOAQEfIN COUNTY 'c <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) Stockton,California 95201 <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE <br /> FACILITY f <br /> OWNER/OPERATOR <br /> PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES , t„ o <br /> i, hereby, agree to have all violations per inspection <br /> r dated pertaining to the above referenced <br /> establishment corrected on or before 7—f D <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 <br /> 50 d2k-�,4 ( '3 7-fd,) <br /> 1 r71 <br /> C.i'II�Z <br /> A Division of San Joaquin County Health{are Services <br />