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PUBLit HEALTH SEPVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION IF <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 445 N. San Joaquin Street • P. O. Box 388 • Stockton, CA 95201-0388 �iko'a <br /> 209/468-3420 <br /> POULTRY FACILITY HEARING AGREEMENT <br /> Date: S <br /> Facility: 3Dpe� anso*-\aY VC <br /> Owner/Operator: <br /> San Joaquin County Public Health Services Environmental Health Division <br /> Representatives: Violations noted: Civil Code Section 3480, Business and <br /> Professions Code Sections 17200, 17203, 17204, 17206, and San Joaquin County <br /> Ordinance No. 877. <br /> I, 'r , hereby, agree to have all violations per inspection <br /> report(s) dated - , pertaining to the above referenced facility corrected <br /> on or before ( J <br /> - -9 S . (All reinspections will be assessed at a rate <br /> of 678.00 per hour.) <br /> I further agree that said violations may be detrimental to the public health and/or <br /> safety and will prevent these violations from recurring. I understand that failure to <br /> comply with this agreement will result in further legal remedies and/or may result in <br /> the closure of my facility through suspension or revocation of my Environmental <br /> Health Permit. <br /> COMMENTS -T)i Ln� X -, A\ t.;_ Oiw A Q..J \-L20, <br /> PAtitdr&\\1 hl S r 4r <br /> �.ZSnm�j V <br /> tt9 '�`1pJ4 fbrE (r o <br /> 4 l <br /> V VrQ�N �i'r O�S Ac�C� C"�Z'��V�'e-0� �'`CqW►� V N � ��1� G�O �'b �UN O1,S <br /> �Hluvr�- �c-�ra.ov ISL �o rz-\;r-•.,�.-+�-�� +AN� S�v sS'����c �r£�� �r►�-�' <br /> roprietor's Signature <br /> A Division of San Joaquin County Health Care Services <br />