Dollar General #8888DEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 781541634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Purpose ofInspedion; 1-(:ontpliance 2=~q~.tina~- 3-F'ieldlnvestigaiion 4Visit 5-0ther
Establ{shmerrt: 1C; f'~;, ~ (1 ~: ~';'f2. i-: f:f %~° " ~ Owner:
Physical Address: r ,(-(; `~ j ~r' i ~ ~ I`'~~ ~„t r t~ ~~ ~; Zip: Phone; ( }
DEMERITS
5 Pts Food (PHF) Temperature/Time iRegnirements
Violations 's+e Immediate Corrective Action Remarks COS
1. Proper Cooiing for CookedlP d Food
2. Cold Hald (41 F/45 F~
3. Hot Hold (140 F)
4. Pr Coolcln Tem ores per PHF
5. id Reheatin l55 F in 2 Hrs
Remarks
DEMERITS
4 Pts PlrsonAeUHaadtiaglSource Regvireenepts
Violations uire Immediate Corrective Action Remarks COS
6. Personnel with Tnfectlons Restricted/Excluded
7. Proper/Adequsie Hand whin
8. Good H gienio Pratt{ces (Satin Inkin Smoking/Other)
9. ved Source/I.abeling
~ l0. Sound Condition P~;~,3~ /' ~'~ kt ~~_ ~'C.~-i~~~
l 1. Pra r Handlin of Re - o-Eat Faads
I2. Cross-Contamination of Raw/Cooked FoodslOther
I3, roved S terns (HACCP Plans/lime as Pufific Health Control)
14. Water Suppl - Ap roved SourcelSufficient CapacitylFtot and Cold finder Pressure
DEMERITS
3 Pts lxacility and Equipment itequirea~enta
Violations uine Immediate Corrective Action Not to Exceed IQ Da Remarks COS
15. Equi ent Adequate To Maintain Product Temperahu~e
16. Hand Wash Pacllities uate and Accessible
17. Hand Wash Facilities with and Towels
1 a, No Evidence of insect Contamination
19. No Evidence of RodentslOthcc Animals
24, Toxlc items ri i:.abeled/ sect
21. Manua[ Ware Washing and Sanitizing at ( ) tern store
22. Mecbanlcal Ware Washln and Sanitiz3n at m/tem urn
23. Ap roved SewagelWastewater Disposal S tern, Pr r DIs al
24. Thermometers Provided/A 1 Calibrated t 2
25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Gooci Re air
26. Partin of Consruner Advisories HeimliclJRaw Shellfish Wamin offer Plate)
27. Food Establishment Permit -Grade Certificate Posted--Food Handler Training
Other VInlaHoea - Violations Require Corrective Actions, Not To Exceed 94 Days Or Tha Next Inspection,
Whichever Come First
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WH>i'TE -Customer Posting
YEI,1lAW -City File
PINK -Consultant File
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