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DEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
619-17'11
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
Yes No R ~ ~ ~,~ / ~ -
Saa Cede Ma Dry Yr ta~~'Tiete PP1Ff CerliRed C[fiV Permit Na ~~
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Purpose of Ittspection; 1-Compliance ~ -Routine 3-Field lnveatigation 4-Visit S-Other
Establishment: (: 1 ~ 1f ,~ _~~ .> Owner,
Physical Address: (>~; - [. '" ,l '~~ fi' _tI' %7,~L, Zip; Fhone: ( )
DEMERITS
5 Pts Food (1']h1F) Ternperatar~dl'itsra Re~alrc>aacnts
Violations 're immediate Corrective Action Remarks COS
I. Proper Cooling for Cooked/P Foad
2. Cold Hold {41 F/45 F)
3. Hot Hoid (140 F)
4. Pr CookJn Tem ores per PHF
5. id Reheatin l65 F in 2 Hrs
Remarks
DEMERITS
4 Pts 1Persont:tdlHandHnglSource Requirtmetsta
Violations wire immediate Corrective Anion Remarks COS
6, Personnel with Infections Restricted/Exeluded
7. ProperlAdequate Hand washin
8. Good H gicnic Praaices (Satin inkin SmokingJOti~er)
9, ved Source/I.abeiing
10. Sound Condition
11. Pro r Hsrrdlin ofR -To-Eat Foods
12, Cross-Contamination of ltaw/Cooked FoodslOther
13, roved S terns {I-iACCP Plansll'fine as Public Health Control
14, Water Supply - Ap roved SourceJSultieient Capaci /Hot and Cold Under Pressure
DEMERITS
3 Pts Facility and lEquipment Rtgalrertten#a
Violations wire hnmediale Corrective Aetiott Not to Exceed l[f Da Remarks C05
15, to ent Adequate To Mairstain Product Tem ratwe
16. Hand Wash Facilities uate and Accessible
17. Hand Wash Facilities with and Towels
18, No Evidence of Insect Contarninatiott
19. No Evidence of Rodents/Othcr Animals
2Q. Toxic Items ri C.abeledlStored/Used
21. Manual Ware Washing and Sanitizing at { } tern store
22. Mechanical Ware Washitt and Sanidzin at m/tem ute
23. Ap roved Sew e/Wastewater Disposal S tern, Pr r Dis al
24. Thermometers ProvidedlAccurateJPr t Calibrated d: 2
25. Food Contact Surfaces of uipment and Utensils CieanedlSanitized/Good Re air
26. Postin of Consumer Advisories HeimHch/Raw Shellfish Warns uffet Plate
27. Food Establishment Permit -Grads Certificate Posted -Food Handier Tralnittg
Other Violptloaa -Violations Require Corrective Actions, Nat To Exceed 90 Days Or Tha Next Inspection,
Whichever Come First
Tot$1 ~~_ 1~
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Total ..
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Score ~` L%
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Ins ed l3 : r..~- /.~--~ ~ 11~..~-., ~ Print: f r.
Follow-Up
Gds. ion
ICES NO ~
Received 13y: ,~ ~
Print' ~ ~`
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YELLOW--City File
PINK --Consultant File
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NOTICE OF ADDITIONS OR CORRECTIONS
JOB ADDRESS: Il~I~ ~ ~~ ~~';~ ,
TYPE OF INSPECTION: _' ~~ (. i'. ~. ~ 3~ti; ~ {'-F
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MARSHAL'S OFFICE
ENVIRONMENTAL HEALTH DIVISION
14DD SCHERTZ PARKWAY
SCHERTZ, TEXAS 781x4-1634
OFFICE: 619-'167'1 or 619-1672
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