Goomba's PizzeraDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Purpose of [nspectinn: 1-Compliance ~2=lto~.tine' 3-Field Investigation A-Visit 5-Other
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Establisirtnent:
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Physical Address: - ('. G 1_, _ (: - ~, ; l' ~ ~{ `~~)ti Zip: Phone; ( )
DEMERITS
5 Pts Food (PHF) Tempcratnt~ell'Inu iRegniremen#s
Violelions 're Immediate Corrective Action
Remarks
COS
~=~ L Pro Cooling for CookedlP Food
2. Cold Hotd (4l F145
3. Hot Hold (ld0 F)
4. Pr Coakin Temperatures per PHF
5. id Reheatin l65 F in 2 Hrs)
Remarks
DEMERITS
a 1'ts Petsc-nneUHpndling/Source Requirements
Viofatians uire Immediate Co~lve Action Remarks COS
6, Personnel with Infections RestridedlExcluded
t 7. Proper/Adequate Hand washing
8. Good H gienic Practices (Patin inkin Smoking/Other)
4. ved Souroeli,aheling
f U. Sound CondiEion
Z 1. Pro r Haadl€n of R -To-Eat Foods
l2. Cross-Contamination of RawlCooked Foods/Other
t- I3. roved S terns HACCP Pfansf['ime as Public Health Control
l4. Water Supply -- Ap roved SourcelSutlicient Capacity/Hot and Cord Under Pressure
DE[viERfTS
3 Pis Fttclllty and t?,qulpment lttegplrcmcntri
Violations airs Immediato Corrective Action Not to Exceed I O Da Remarks Cps
I5. Equi ent A ate To Maintain Frodud Temperature
I6. Hand Wash Facilities uate and Acoessibte
f« z l7. Hand Wash Facilides with and Towers
IS. No Evidence of Insect Contamination
l9. No Evidence of RodentslOther Animals
20, Toxic Items rl Labeled/StoredlUsed
2l. Manual Ware Washing and San€ti~ng at ( } tern ature
22. Mechanical Ware Washin snd Saniti~n st ) m/tem are
23. Ap roved Sew elWastewater Disposal S tern, Pr r Disposal
24. 'Thermometers Provided/Aceurat I Calibrated ~ 2
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25. Food Cantad Surfaces of utpment and Utensils CteanedlSanitizedlGood Re air
26. Fortin of Consumer Advisories (Heimlich/Raw Shellfish W uR'et Plate
27. Food Establishment Pernut --Grade Certificate Posted -Food HAndler'IYaining ~~ , j Wit. f.+S ~ Z-~ G- ~~ ,l ~ l ~ ~f ~~ /'!-
Other ViolwHens - Vfnlations Require Correct€vc Actions, Not To Exceed 90 Days Or The Next Inspcet€on,
Whichever Come First
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Total ~~~;/
Demerits i,
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Total ~ _ ... `~
Score ~ '
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Follow-U
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Received By ~~ ~ ~ ~~~°~ ~ ~ ~
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Title:
WHITE --Customer Posting (~ ~ YELLOW -City File
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PINK --Consultant Fite
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CITY OF SCHERTZ
MARSHAL.'S OFFICE
ENVIRONMENTAL HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1 fi34
OFFICE: fi19-1 fi71 or fi19-1 fi72
NOTICE OF ADDITIONS OR CORRECTIONS
.IOB ADDRESS: ~ ~;~ ~.%~--~ ~~
TYPE OF INSPECTION:
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Date: U ~ l ~ Inspector: C_ ~,~,.'~7~ ~j r_ ~~ ~~- ~ " ~ ~.,
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I' Date: ~ c ~ ~ ": Signature: ~ ~. .
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