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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: VIENNA CONVALESCENT HOSPITAL, 800 S HAM LN, LODI 95242 <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 /> -t�fak <br /> Received by: Name and Title: Holly Peck, Registered Dietitian <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000517 PR0527314 SCO01 04/29/2019 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />