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Domino's Pizza (2)DEVELOPMENT SERVICES DEPARTMENT HEALTH DIVISION 100 SCHERTZ PARKWAY SCHERTZ, TEXAS 78154-1b34 619-1771 RETAIL FOOD ESTABLISHMENT INSPECTION REPORT Z ~,~~f~a ,~ 1~ ~ ~~ . / Yes No R ~ ~~ r ~) `~ 3m Code Mo t]ey Yr isap Time FPM Certltild _......_... CFN Permit Na ~~ Cat PurposeofInspedion: 1-Compliance [2-12outine:) 3-Field [nvestigation 4-Visit 5-0th~ Establishment: ~~ ~I1 ~ j~ ~ 1, ( Owner: Physical Address: ~ ~ ~ ~~ .~,~ ~ ~ Zip: Phone; ( ) DEMERITS 5 Pts Food (PHF) Ternperatarrli'inte 1Regttirenrents Remarks Violations uire Immediate Corrective Action COS 1. Proper Coaling for Coaked/Pr d Food 2. Cold Hold {41 F/4S 1~ 3. Hot Hold (140 F) 4. Proper Cookin Tempcxalures per PHF 5. id Reheatin 165 F in 2 Hrs) Retnerks DEMERITS 4 Pts PersannellHsndling/Source Requirements Violations wire Immediate Corrective Action Remarks COS b. Personnel with Infections Restricted/Excluded 7. Proper/Adequate Harxi washing 8. Good Hygienic Practices (Satin inkin SmokinglOther) 9. Ap ved Soureell.abeling 10. Sound Condition 11. Fro rHandlin of Re -Ta-EatFaods i2, Cross-Contamination of Raw/Cooked FoodslOther 13. roved 5 terns (HACCP Plansmme as Public Health Gornrol} 14, Water Supply -- Ap roved SourreJSufficient CapacityMot and Cold Under Pressure DEM>/RI7`S 3 Fts Facilfty and Equipment iRequirementa Violations uire Immediate Corrective Action Not to Exceed lfl Da Remarks C05 15, Equi went A ate Tn Maintain Product Tem nature 16, Hand Wash Facilities uate and Accessible 17. Hand Wash Facilities with Soo and Towels ,~ 18, No Evidence of Insecc;t Contamination 19. No Evidence of Rodents/Other Animals 2D, Toxic Items P rl I.abeled/Stvfed/IJsed 21. Manual Ware Washing and Sanitizing at ( ) temperature 22, Mechanical Ware Washin and Sanitizin at ) nUtem ure 23. Ap roved SewagelWastewater Disposal S tern, Pr r Disposal 24, 'Il~et°ntometers Frovided/AccuratelPro 1 Calitxated ~ 2 25. Food Contact Surfaces of uipment and Utensits Cieantxl/Sanitized/Gond Re 'r 26, Posting of Consumer Advisories (Heimlich/Itaw Shellfish W~ni uffet Plate) 27. Food Establishment Permit - C,rade Catificaie Pasted -Fond Handler Treinirsg Other Violations -Violations Require Corrective Actions, Not Ta Exceed 40 Days Or The Next Inspection, Whichever Came First Total [~ Demerits ~ ~~; j i t ~ ~ ~, ~ ~. ~ ~~ ~~!.'~._1 ~ I~l(~ ~~}l ,-~~ ,( {`, ~.~ ~ L i. iL~l.~~~~ (.`L:1 ~ ~ };?~ ~? ~Il1~r'PC~- ~~ ~~ S~r+e `~ (~ Ins edB ~ z °(:t1tiE t.,? < Prird: f` CF~~~ ~ r:y - ~ ! / t-, Follow-Up ~„Inspection DES NO .. iteceived 6y ~~ ~ ~t f ~~ _~ ~~ ~.~.. i Pint. ~, ~/,~,( ~ `'~ ,,,~ 1 <,; ` , tie: j~ WHITE - Customer Posting YELLOW ~-City File PINK -Consultant Fite J ~ 'hA to ~`~, a ~. CITY OF SCHERTZ MARSHAL'S OFFICE ENVIRONMENTAL HEALTH DIVISION 1400 SCHERTZ PARKWAY SCHERTZ, TEXAS 78154-1634 OFFICE: 619-1671 or 619-1672 NOTICE OF ADDITIONS OR CORRECTIONS l JOB ADDRESS: ~ )1~1/~1 f ~" )fJ~S (/~.> ~~ TYPE OF INSPECTION: ~ t~ ~~~ (~_ 1~~ ~ ~~. `>•~ ~"~ Date: ~~ , `~ ~.~ ~ Inspector: F ,,7 t,r ;~~~ Date: ~~ :~ ~_~~ ~'" Signature: ,;-, %- r- JUN NION TUBS WE'D TMURS FRI SAT SUN INS-~ERS 25 26 27 23 29 30 ? JUSTIN XX XX O-C ®-C ®-R O-R O-5 MARTlN O-C O-R )OC )OC 5-R 5-C 5-C ANGIF XX 5-C 5-R 5-C 5-C 5-R XX JOHN 5-R XaC XX XX 4-R 4-R 4-R 13RlVERS DA ~1 D / ~ ~ O-R O-R ®-R O-R ®-R / V PATTY 5-R X XaC 5-R 5-R 5-R 4-R RA FA FL O-R X XX XX 5-R 5-R 5-R . KURTIS X X 5-C 5-R 4-R 3-R 5-C CURTIS 5-R 5-R X 5-R 4:30-R X XX ~RANDDN X 5-R 5-R X 5-R ~-R 5-R JORDAN 5-C 5-C X X 5-R 5-C O-5 DR~NDAN X X 5-R 5-R 5-C X XX Z 3 ~~ ~r I' fr ,SCHEDU~~ _IS SUBJ~~T ~1.alANGE IF-YOU ARE UNABLE TO=COVER YOUR SHIFT YOU :MUST FIND A REPLACEMENT DO NOT CLOCK [N EARLY UNLESS ASKED:~TO SY MANAGER ON DUTY '~ ~ ! 1F-YOU CAI=L iN YOU MUST HAVE A DOCTORS-NOTE. __ _N.i® DOCTORS.NOTE-..WRITE UP. 2. WRITE. UPS=TERMINATION a ~J ~. ~ _i,-., ~. _. ~---- _ ---_ - - - -- _ . ..'~ ~_ _.._..-_ ._ _t ... _ _ J ~/ ~ ~i -' i ~~/~ .- -. .. ~ --~ i E ~~ ~ - - ., t i ~ - ~• _. ._ , - -- -- ~-- -_ - - I-- ~ -- ~- -- - ~ --- - ~. 4 _ ~ - _. _...-_ -- -'-' - - '_ .. t ~ ~.