Jack In The Box #844DEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
/~~~'t'1/ SCHERTZ, TEXAS 78154-1634
1 619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Yes No R ~ ~ C ~~' ..~, `~
Sau Cods Ma nay Yr Gup Tie~e FPM CtrHtttd CFM Permit ria Risk
Cat
Purpose of lnspedion: t-Gomplim~ce ~ 2-Routines, 3-Field investigation 4Visit 5-Other
Establishment: _~ Gi ( r"1 ; ~}(~ ~//~-`' :~ ~ ~i t Owner:
Physical Address: j ~~]''j (> 1 / / r_;~ ' Zip. Phone: ( )
DEMERITS
5 Pis Food {PHF) 'Ff:mperatnrrll'inss Regnirer~ents
Violations 're immediate Corrective Action Remarks COS
1. Proper Cooling for Cooked/P Food
2, Cold Hold (41 F/45 F)
3. Hot Hold (lot} F)
4. Pr Cool<ln Temperatures per PHF
5. 'rd Reheatin I65 F in 2 Hrs
Remarks
!7 Ml~
4 Pts Persctinnd/HandHdglSource Rtquiremc to
Violations wire Immediate Corrective Action Remarks COS
G, Personnel with infections Restricted/Excluded
7. Proper/Adequate Hand washin
8, Good H gienie Practices (Satin irrkin Smolcin Other)
9, ved Sourcell.abeling
14. Sound Condition
11. Pro rHandi[n ofR -To-1~atFoads
12. Cross-Canta~nination of RawlCooked PoodslOther
13. roved S Isms (HACCP P1ansITime as Publie Health Control
l4. Water Supply- Ap roved SourceJSuiiicient Capacity/Hot and Cold Under Pressure
bEM1vRlTS
3 Pis .Facility and F.gaiprrrent ltetiairtraants
Violations airs Immediate Corrective Action Not to 1;xceed f0 Da Remarks GOS
15. Equipment Adequate To Maintain Product Tem rature
16. Hand Wash Facilities uate and Accessible
17. Hand Wash Facilities with ...and Towels
1 S. No Evfdenee of insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic items rl 1 abeled/StoredlElsed
21. Manual Were Washing and Sanitizing at ( tem stare
22. Mechanical Ware Weshln end Saniti~3n at ) m/tem um
23. Ap roved Sew elWastewater Disposal S tem, Pr r Disposal
24. 'ihermometers Provided/Accurat l Calibrated t 2
25. Food Contact Surfaces of uipment and Utensils Cleaned/SanitizedlGood Re air
26. Postin of Consumer Advisories (Heimlich/Raw Shellfish Warm uffet Plate
27. Food Establishment Perntii# --Grade Certificate Posted -Fond Handler Training
Utl>er Viulatiana -Violations Require Corrective Actions, Not To Exceed 90 Days Or The Next inspection,
Whichever Come First
1
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inspection
YES Np
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Print: '' `~ ~ EU
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Title: -' ~`~ ~~~~
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~ ~'TE Castomer Posting
YELLOW -City File
PINK --Consultant File
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JIB: 0644 Master Availability Chart Aate: 07/18/2012
Time: 14:49:25
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