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PUBLIC <br /> ' HEALTH ' SEWICES <br /> SAN JOAQUIN COUNTY r _... Z <br /> Q: .a <br /> JOGI KHANNA M.b:,M.P.H. j <br /> Health Officer 'l. <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) + Stockton;California 95201 c��ikoa4 <br /> (209) 468,3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATEti1._2_ . <br /> CONTRACTOR <br /> ADDRESS WHERE VIOLATION OCCURRED _ L C 7qt:a- e:r�. "�t,°tom- . <br /> SAN JOAQUIN COUNTY PHS/EHD REPRESENTATIVES <br /> `` fit✓ �� �0 `�—� I � <br /> I Gr�r.��r� -e. 5ye�r :• i hereby agree to have all Aol ations ` <br /> pertaining to the above referenced address corrected "on .or{ before <br /> I further agree that said violations are detrimentalto the public health <br /> Y <br /> and/or safety and will prevent these violations fromlreoccurr'ing In San , <br /> Joaquin Co <br /> unty, Furthermore j 1,'agree. tai ful ly. .eompl�fwith al the <br /> requirements of San Joaquin 6unty Ordinantt 11869 'Ahd notify. 5ah Joaquin <br /> County PHS/00 forty eight- (48) hours in advance of pertprMi.Aq,Ariy.work.' <br /> Failure to comply with thi.g agreement wi.lI i~esult in 'lurthee legal rerdodlos. <br /> SIGNED <br /> tic <br /> f <br /> I <br /> J <br /> i1 <br /> A Division of San Joaquin County Health Care Services <br /> e <br /> 'f .., <br />