Dollar Tree #3637DEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY'
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
,i ,3Q'~v
'~tI'"
'~~' 1
.~~` `
_[•PG
r}
/ ~ ~ ~~ Yes No R ~1 % r ~,~ ~~
San Code Ma t)ey Yr Ines Time RPM Ctreiiisd CFN 1'srnil No. ~4
Purposeof Inspection: 1-Compliance ~ 2-~outine~ 3-Field Investigation 4Visit 5-(hl-er
._...
Establishment: ~) t.. l,r ~;; ~, .:jl ';°~/~ :~ . j
Owner:
Physical Address: (~ ~ r / f i f ~.f, Ir-~ Zip: Phone: ( )
pEMERI'FS
5 Pts Food (PHF) Ternpera~r+rlI'ime Regnire~ents
Vialations 're immediate Corrective Action Remarks COS•
1. Proper Caolin$ for Cooked/F d Food
2, Cold Hold {41 FIaS ~
3. Hot Ha[d (14fl ~
4. Proper Cookin Temperatures per PHF
5. id Reheatin Ib5 F in 2 Hrs)
Remarks
D1;M)rRl'1S
4 Pts Personnel/Hsndliug/Sourcctiequirements
Violations uire lmmedime Corrective Action Remarks COS
6. Personnel with infections Restrided/Excluded
7. Proper/Adequate Hand washing
$. Good H gienic Practices (Satin inkin Smokigglpther)
9. ved Source/l.abeling
!- lfl. Sound Condition ~ ~
Pl1l~~- ~~( ! ~-7.
1 1. Pro r Handlin of Re - o-Eat Foods
12, Cross-Contamination of Raw/Cooked FoodslOther
l3, roved S terns (HACCP Plans/fimc as Public Health Control}
I a. water Supply - Ap roved Source/Suffieient Capacity/liot and Cola Under Pressure
DEMERf['S
3 PGs l~'acilky and Fquipffient Rcgrrlrements
Violations uire Immediate Corrective Action Not to Exoeed lU Da
Remarks
COS
15. ui ment A ate To Maintain Product Tem rature
l6. Hand Wash Facilities ante and Accessible
l7. Hand Wash Facilities with Soa and Towels
i$, No Evidence of Insect Contamination
i9. No Evidence of Rodents/Other Animals
2U, Toxic t#ems rl Labeled/StoredlClsed
2t. Manuel Ware Washing and Sanitizing at ( } tem lure
22. Mechanical Ware Washln and Sanitizin at m/tem are
23. Ap roved SewagelWastewaier Dispose! S tem, Pr r Disposal
24. Thermometers Provided/Ac~rratelPro I Calibrated t 2
25. Food Contact Surfaces of uipment and Utensils CleanedlSanitized~Good Re air
26, Posting of Consumer Advisories (HeimlicldRaw Shellfish W uffet Plate
27. Food Establishment Permit -Grade Certificate Posted - Faod Handler Training
Other Viola4toos -Violations Require Corrective Actions, Not Ta Eacceed 90 Days Or The Next Inspection,
Whichever Come Fi
rst
Total t
Demerits l
~ 1
't'otal
Scare ~ ~
,
~,
Ins ed B (~ may: r {i~ ~~~~~`Z; ~ ~ ~
Print: r ° 5 S (' .~ 'ii i c ,l ~ (i
Follow-Up
[ns tan.
YES Nb (~
R 1 ved y J ~ ~ ~~ ~~-
~~ ~- "•~_~~ `~~ ~
Print'
~ ~,~ ~ r ,~~~( r~ ~ , ~wZ'
Title:
~`(t - l~ ~~
WHITE ~ C!].Stoi]leY ~O~St1Elg
~~YELI[AW -City File
PI~C --Consultant File
lr:l+r: ~ .~~
~..