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SAN JOAQUIN <br /> Environmental Health Department <br /> CCU 1T <br /> Food Program Official Inspection Report <br /> Facility Name and Address: THE GRATEFUL GYPSY BISTRO, 12470 E LOCKE RD, LOCKEFORD 95237 <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:SB 180 is not posted. Post today. Corrected on site. <br /> Hand wash sign is not posted at the hand sink. Post today. Corrected on site. <br /> Last inspection report is not available on site. Retain the most recent report on site. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978). (c)Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381 (e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jamie Freeman Expiration Date: December 08,2020 <br /> Warewash Chlorine(Cl): 200 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink-- 129.00°F Hand sink--women/men rest room--105.00°F <br /> cooked pork--Hot Hold--147.00°F 2 Door True reach in cooler--40.00°F <br /> 3 Door True cooler--37.00°F <br /> NOTES <br /> owner has some changes on the address number. Owner will fill 5021 form emailed back to me for update. <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 /> —q <br /> Received by: Name and Title: Lisa Freeman, Co-owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0016242 PR0524191 SCO01 02/23/2018 <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 />