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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: BLACK DIAMOND SMOKE SHOP, 115 E PINE ST, LODI 95240 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink--92.00°F <br /> NOTES <br /> Re-inspection. <br /> The slushy machine and nacho cheese dispenser were removed. <br /> The ice machine is for personal use only per owner. <br /> Facility has hot water dispenser for instant coffee with disposable utensils and prepackaged food. <br /> Discussed report with owner. <br /> No signature captured. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0004131 PRO163431 SC333 06/07/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />