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San Joaquin <br /> q U i NEnv <br /> DIRECTOR <br /> ironmental Health DepartmentDonna Heran,RENS <br /> r: 1868 EastHazelton venue <br /> Stockton,� California PROGRAM COORDINATORS <br /> sRobert McClellon,REHS <br /> • '• Jeff Carruesco,REHS,RDI <br /> cq' PWebsite: www.sjgov.org1ehd Kasey Foley,REHS <br /> ®R <br /> hone: (209)468-3420 Linda Turkatte,REHS <br /> Fax: (209)464-0138 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE: 5it$(t5 <br /> FACILITY: k5ku LSQ.` Anon l?,�rlos <br /> ADDRESS: Mix-e,r AV,- , �1vc w. LA 9swa, <br /> OWNER/OPERATOR: WV, <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT REPRESENTATIVES: <br /> QI'A f�)CcWtvl "r,ncld 'l an CSto t7 <br /> I, hereby,agree to have all violation(s)dated a IS <br /> pertaining to the above referenced facility/premises corrected on or before (y h-1115 <br /> (All re-inspections will be assessed at a rate of$125.00 per hour). SILSh S- <br /> I <br /> I further agree that said violations may be determined to the public health and/or safety and will prevent <br /> these violations from recurring. I understand that failure to comply with this agreement will result in <br /> further legal remedies. <br /> COMMENTS: MI Wi[-CA elcK Wi l^ I <br /> CN1 n <br /> Hu L n \f%jj I nck ,Sc-srjg. s w <br /> ` r .vim <br /> f c > e.- <br /> i <br /> I..'CoL ' e�f cIn <br /> 1 <br /> Proprietor's Signature <br /> PUBLIC/UNIT V I/UNITV IFORMS/ADMINISTRATIVEHEARINGAGREEMENT <br />