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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 /> true 1 door--next to 1 door freezer--36.00°F walk in--38.00°F <br /> true 2 door--38.00°F true 1 door--next to warmer--44.00°F <br /> NOTES <br /> sanitizer bucket-300 ppm quat <br /> no signature due to covid 19 <br /> •residents served in their rooms <br /> *covid 19 residents are quarentined <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: NICHOLAS WIESEMAN Phone: <br /> FA0000517 PR0527314 SCO01 12/02/2020 <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 />