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luoittd ittlkilkyrbi <br />PUBLIC HhALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />RECREATIONAL HEALTH HEARING AGREEMENT <br />t (00 ( <br />Facility: WibilkkAl 1A1— <br />Address: 4[O NI • -Thtt -pm CA q6511.0 <br />Owner/Operator: ,Tmt- <br />_ <br />Kii,p,thropy <br />San Joaquin County Public Health Services Environmental Health Division Representatives: <br />PliztheAti l çktc <br />QiiwAltil <br />?VOA /kW& , hereby, agree to have all violations per inspection report(s) dated <br /> , pertaining to the above referenced facility corrected on or before <br />LktL cmitmacic -6.04) . (All reinspections will be assessed at a rate of $87.00 per hour.) <br />Date: <br />-114420v, <br />I further agree that said violations may be detrimental 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 further <br />legal remedies and/or may result in the closure of my facility through suspension or revocation of my <br />Environmental Health Permit. <br />COMMENTS: <br />Proprietor's Signature Signature <br />FOOD/EH/EH0042 <br />A Division of San Joaquin County Health Care Services