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Q�aerd. San Joaquin County <br /> >.•�afa•Fq <br /> Environmental Health Department <br /> " 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �. 4 ;`p• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> Crpo'pr' <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LOTUS, 1412 ROSEMARIE LN , STOCKTON 95207 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jasmin Siang Expiration Date:May 05,2023 <br /> Warewash Chlorine(CD: 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 107°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOODITEM --LOCATION --TEMP°F--COMMENTS <br /> walk in--37.00°F 2 door prep--35.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid. Program 1624 Fee$355. Return to office before opening (10/22/18) <br /> Equipment 75,500 Rheem WH,2 comp prep,2 comp ware washing sink, 2 rest rooms,2 hand sinks, mop sink <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 reinspectionisrequired,fees will be assessed at the current hourly rate. <br /> eq <br /> Received by: X Name and Title: Muy Ung, cook <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001497 SR0079395 SC061 10/18/2018 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />