Domino's PizzaDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400'SCHERTZ PARKWAY
SCHERTZ, TEXAS 7$154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Ssn Code Mo Dry Yr tnsp Thnc FPM CerH6td CFN Permit Ne.
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Cat
Purpose of Inspecion: l-Compliance 2-Routine 3-Field Investigation ~4-Visit 5-0tti, ~ ~ t l2 ,~/- G/~ 3
Establishment. - G ! i- E' / 61 G f ~ ~% ~ ~f'3
_ Owner:
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Physical Address: Phone: ( )
DEMERITS
5 Pts Food (PHF) Teurperata Ume Requirements
Violations 're Immediate Corrective Action Remarks COS
!. Proper Cooling for CookedlP Food
2. Cold Hold {q 1 F145 F)
3. Hot Hold (l4Q F)
4. Proper Gaokin Temperatures per PHF
5. id Reheadn 1G5 F in 2 Hrs}
Remarks
DEMERITS
4 Pts PersoneetlHandlinglSource Requirements
Violations uire Immediate Corrective Action Remarks COS
ti. Personnel with Infections Restricted/Exeluded
7. Proper/Adequate Hand washing
8. Good H gienie Pracilces (F.atin inkin Smoking/lhher)
9. Ap ved SourceJL,abeling
ltl. Sound Condition
t I . Pro r Handlin of Re -To-l:at Foods
l2. Crass-Cantaminslion of RawlCooked Foods/Other
l3, roved S terns (HACCP Plans/Time as Public Health Control)
14. Water Supply- Ap roved SourceJSutlieient Capacity/Hot and Coid Under Pressure
DEMERI'T'S
3 Pts Facility sad Equipment Rtgairementte
Violations uire Immediate Corrective Action Not to Exceed l4 Da Remarks COS
15. Equipment A ate To Maintain Product Temperature
16. Hand Wash Facilities A uate and Accessible
17. Hand Wash Facilities with and Towels
18, No Evidence of Insect Contamination
19. No Evidence of RodentslOther Animals
20, 'l`oxic Items rl Labeled/S'toredlllsed
2i, Manual Ware Washing and Sanitizin at ( } ppmltem store
22. Mechanical Ware Washin ar-d Sanitiz~n at ) m/tem ore
23. Ap roved Sewage/Wastewater Dis al S tern, Pr r Disposal
24. 'Thermometers Provided/A I Calibrated t 2
25. Food Contact Surfaces of uipment and Utensils CleanedlSanitized/Good Re air
26, Postin of Consumer Advisories Heimlicli/Raw Shellfish Warnin ulI'etPiate
27. Food Establishment Permit -Grade Certificate Pasted _ Fwd Handler Tralnieg
Other Vlolatlans -Violations Require Corrective Actions, Not To Exceed 90 Days Or'I`he Next Inspection,
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Total
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