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�...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JOLLIBEE, 7840 WEST LN, STOCKTON 95210 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Luis Baldovino Expiration Date:July 18,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 154°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 112°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Sanitizer buckets 200 ppm quat <br /> Notes: <br /> There are currently 150 pounds of carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 among other <br /> various compressed gas is an asphyxiant and is therefore considered a hazardous material subjected to regulation under <br /> Health and Safety Code. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County. You will <br /> be placed into EHD Program 1919 for Hazardous Material Business Plan (HMBP)and California Environmental Reporting <br /> System (CERS)compliance, unless Environmental Health Department receives evidence that the amount on site is below the <br /> reporting limit in 1 week. You may submit such evidence(i.e. photos, documentation)to jwong@sjcehd.com <br /> Submit evidence of correction to jwong@sjcehd.com before reinspection deadline to avoid a billable reinspection. <br /> OIR emailed to jb-stockton@jollibeeusa.com <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: Luis Baldovino, Manager <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0019414 PRO529094 SCO01 02/06/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />