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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY r. <br /> JOGI KHANNA M.D.,M.P.H. " <br /> Health Officer <br /> o• . r <br /> P.O.Box 2009 (1601 Last Hazelron Avenue) Stockton,California 95201 <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE 112.190 <br /> r <br /> FACILITY 0;:o'n e� (X knd"r 4(YY) 1A )27 nee Het Q ht5 <br /> OWNER/OPERATOR <br /> PUBLIC HEALTH SERVICES OF SAN JOAQUIN COUNTY, ENVIRONMENTAL HEALTH <br /> DIVISION REPRESENTATIVES Tf�T (,y l L „,t 'So Pe i< <LK, "fZ kS <br /> 41 <br /> 1`F�Sr✓Y Fn Com/ l2.�".{-I. <br /> I, A, hereby, agree to have all violations per inspection <br /> report (s) dated 317A f'Q0 pertaining to the above referenced <br /> establishment corrected on or before <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 PROPRIETO <br /> /j/ Z ��A C S` ✓�- o- 74 J <br /> S- <br /> �'y 0) <br /> C� � �;��`.� ✓'�`�""� ,�� ,�,;v� P its- E r��) <br /> A Division of San Joaquin County Health Care Services �' <br />