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I <br />FACIL: <br />PUBLIC HEALTH <br />SERtICES <br />PQ�,N <br />SAN JOAQUIN COUNTY r. <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 />OWNER/OPERATORS <br />,off <br />PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br />DIVISION REPRESENTATIVES <br />l -- <br />I, hereby, agree to have all violations n <br />pertaining to the above referenced <br />establishment corrected on or before , <br />X <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 />A Division of San Joaquin County Health Care Services <br />