Bush's ChickenDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Purpose of Inspection; I-Cornplisnce 2=RoutirtC ,~ 3-Field investigation 4-Visit S-Other
Establishment: ~~ ,i ; , ~ ' t ~ ~ <~ (( -fit%~ Owner:
Physical Address: ~ 4, c~_ ~~~ ~ fv~ ~~!i(., ` Zip; Phone: { }
DEMERITS
5 Pts Food (PHF} 'TemperptrsrelTlme Requirements
Violations immediate Corrective Action Remarks COS
1. Pro Coolin for CookedlP Food
~~ 2. Cold Hold 41 F145
3. Hot Hold (140 ~
4. Pr Coakin Temperatures per PHF
5. id Reheatin lb5 F in 2 Hrs)
itemarks
DEMERI'T`S
4 Pts PersontrdMandlinglSaurce Requlremrnta
Violstions wire Tmmediaie Corrective Action Remarks COS
6. Personnel with Infections Restricted/Excluded
?. Proper/Adequate Hand washing
L 8. Good H gicniG Practices (Satin inkln Smoking/Other)
9- ved Source/i.abelin
l0. Sound Condition
ll. Pro rHendlin ofR -TaEatFoods
l2. Cross-Contamination of Raw/Cooked Foods!(3ther
l3, roved 5 terns (HACCP P1ans/Time as Public Health Control
l4. Water Supply - roved SourcelSufTieient Capacity/Hot and Cold Under Pressure
DEMERITS
3 Pts F'actTTty and 1?.gWpment ~gnlrements
Violations uire immediate Corrective Action Not to Exceed lt) I?a
Remarks
COS
L5. Equ! ent A ate To Maintain Product Tem refute
,.;, lb. Hand Wash Facilities uate and Accessible ',
'~ 17. Heed Wash Facilities with and Towcts
I8, No Evidence of Insect Contamination
l9. No Evidence of RodentsJOthcr Animals
~ 20. Toxic items rl I..abeled/Stored/Used
2l. Manua! Ware Weshin and Sanitizin at ( tern store
22. Merhanica) Ware Washln and Sanitian at } m/tem ore
23. Ap mved Sew Wastewater Disposal S tern, Pr r Disposal
24. Thermometers Provided/A I Calibrated d= 2
°~~ 25. Foad Contact Surfaces of uipment and Utensils ClesncdlSaniti~d/Good Re sir
26, Postin of Consumer Advisories (Helmlicl~/R.aw Shellfish Warrtln uffet Plate
'~~ 27. Food Establishment Pernvt -Grade Gerlificate Posted -Food Hattdlcr T'r,~ining ir,~ ~ r~ l '"
Other VIolAtlona -Violations Require Corrective Actions, Not To Exceed 90 Days Or The Next Ins ion,
Whichever Come First
Total ~~ l
bemerits
Total ~_~
Score
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Print; c`r~~' G'ly>-i j 1 1
Follow-Up
~{}jlgspection " ~ .
Received By:
Print;
Title
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ITS -- Custort~er Posting
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YELLOW--City Fite
P1lVK~_ Cnsisuitant File
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