Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> .lames Culbstuan,Pres. City of Lod. <br /> Mary Anna love,vice Pre.. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E vannuecl,Secy. San Joaquin County <br /> Tommy Joyce -Stockton, California 95201 City of Escalor. <br /> Earl Pimentei - City of Manlec� <br /> Virginia Mathews (209) 466-6781 City of Ripor: <br /> Daniel L Fiore& City of Stockton <br /> John D.Mast,M.D. Joy]Khanna,M.D.,M.P.H.;District Health Officer City of Trac; <br /> San Joaquin County <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE <br /> FACILITY p <br /> OWNER/OPERATOR �Ccrrr• nj Z <br /> TT ate, I�E�j <br /> SAN JOAQUIN LOCAL HEALTH -DISTRICT REPRESENTATIVES <br /> Ir , hereby, agree to have all violations <br /> per inspection report(s) dated fI 0 pertaining <br /> to the above referenced establishment corrected on or before <br /> s �q <br /> I further agOee that said violations may be detrimental to the <br /> public health and/or safety and will prevent these violations from <br /> recurring. Failure to comply with this agreement will result in <br /> further legal remedies. . <br /> SIGNED BY PROPRIETOR <br /> E _ <br /> EH 00 42 (Rev 7/88 ) <br /> I <br />