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PUBtfC HEALTH SE VICES �N. <br /> SAN JOAQUIN COUNTY =• <br /> N. X <br /> JOCI'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 /> CONTRACTOR [�} <br /> ADDRESS WHERE VIOLATION OCCURRED <br /> SAN JOAQUIN COUNTY PHS/EHD REPRESENTATIVES <br /> r <br /> . <br /> I , �. hereby agree to have all violations <br /> pertaining to the above referenced address corrected on or before <br /> I further agree that said violations are detrimental to the public health <br /> and/or safety and will prevent these violations from re-occurring i.n San <br /> Joaquin County. Furthermore, I agreeto fully comply with all the <br /> requirements of San Joaquin County Ordinance #1862 and notify San Joaquin <br /> County PHS/EHD forty-eight (_48) hours in advance of performing any work. <br /> Failure to comply with this agreement will result in further legal remedies. <br /> SIGNED <br /> A Division of San Joaquin County Health Care Services <br />