McDonalds #11966DEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY '
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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$a Csde 14lo dry Yr irrp Time FPM Certified CFtY Penult HR Birk
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Purpose ofinspedion: 1-Compiianco {~-routine..,- 3-Fieldltrvestigation 4Visit S.Other
Establishment: U ) ~~~~ (~{5-~~ Cj ( - Owner:
Physical Address: f '~~] ~ ' ~ f ~ f '~', 3 Zip: Phone: { )
DEMERITS
5 Pts Food (PHIz) Temperxhrrdl'€me Regaireanents
Violations ro Immediate Corrective Action Remarks COS
1. Cooling for Cooked/P Food
2. Cold Hold (4l F/45
3. Hot Hold {140 ~
4. Pr Coakln Tem ores PHF
S, id Reheatin 165 F in 2 Hrs
Rellltlr~CS
DEMERITS
4 Pts Pt:rsondd/Ht~ndliag/Sotrrce Requlrementa
Violations uirc Immediate Corrective Ac#{on Remarks COS
6. Personnel with Infections Restriaed/Exeluded
7. Pr r/Ad uate Hand washin
8. Good H giettic Practices (Satin irtkin Smokin Other)
9, vcd Source/L,abel '
10. Sound Condition
11. Pro r Handl[n ofR -TaEat Foods
12. Crass-Cantamittation of Itaw/Cooked ):oods/Other
13. ved S terns {HACCP Plar~ll'1me as Public health Control
14, water Sa roved sourceJSultieierrt i Mot and Cold Under Prtssure
DEMERfTS
3 Pts Fac11#ty rnti Equipment Rsgalrements
Violations airs Lnmediate Corrective Action Not to Exceed 10 Da Remarks COS
13, ui ant To Maintain Product Tem rature
]b. Hand Wash Facilities uate and Accessible
17. Hand Wash Facilities with arld Towels
1 S, No Evidence of Insect Contamination
19. No Evidence of Rodents/Othcr Animals
20, Toxle Items 1 Labelod/StorcdlUscd
21. Manusi Ware Waahin and Sanitizing at tam arc
~, 22. Mtxdlanitztl Ware Washln and Sanitizln at ) m/tem ore
23. Ap roved Sew Wastewater ^Isposa! S tcm, Pr Disposal
24. Thermometers Provided/A I Calibrated t 2
25, Food Contact Surfaces of ui ment and Utensils CleanecUSanitized/Goocl Re 'r
26. Post' of Consumer Advisories Heimlich/Raw Shellfish W uffct Plate
`~-> 27. Food Establishment Perrnlt -Grade Certificate Post,r:d - Food Httndkr Tirttfurrirng
Outer V1olatlona - Vioiati~s Require Corrective Actions, Not To F.xoxd 90 Days Or Tha Next Inspection,
Whichever Come: First
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YELLQW -City Fite PiNIC - Catsuitant File
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CITY ®F SCHERTZ
MARSHAL'S ®FFICE
ENVIRONMENTAL HEALTH ®IVISI®N
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
OFFICE: fi19-1671 or 619-1672
NOTICE OF ADDITIONS OR CORRECTIONS
JOB ADDRESS: ~~ `t ~ 1:~ L %,~~C;
TYPE OF INSPECTION: ~!~ ~i~,t )~ ~
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Date: ~~~` ~~ ~ / .~ Inspector:
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,,s~~ Date: ~ ~ ~r ~~ ~ Signature;
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RUN DATE: 08/21/12 STORE MANAGER'S BUSINESS SYSTEM x.0.03 STORE: 11966
R~JN TIME : 10:57 PAGE : 1
EMPLOYEE ROSTER
ACTIVE AND INACTIVE EMPLOYEES AS OF 08/21/12
93 ASHLEE A 94 ANDREA G 44 CHRTSTO M 95 DOMINGO R
26 KYLE B 91 RICARDO G 36 MEGAN M 127 RAUL R
79 PATRICK B 123 ALICIA G 87 JEREMIA M 27 BRIANA R
2 CAROL B 25 KAITLIN G 61 CANDACE M 40 JULIE R
,~ 85 TAYLOR B 22 MARIA G 46 FELICIA M 49 DARIAS R
4 NATIVID B 9 SARAH G 29 LUIS M 10 RUDY R
56 AYANA B 43 JUSTIN G 14 QUENTIN M 13 MARIO R
16 JONATHA B 15 JOSHUA G 80 JEREMY M 20 CHRIS R
3 MARIA B 35 DARRELL H 7 MAUREEN M 18 KENNETH R
74 MIGUEL B 38 AMANDA H 66 DAWNE M 28 ALLEN S
23 ALFRED C 31 MARIA H 86 MARIA M 88 KRISTIN S
19 MITCHEL C 12 QUENTIN H $9 MARLY O 50 GREGORY S
8 WESLEY C 24 JAHVON H 78 JOSUE O 39 LOTHAR S
45 JUSTIN C 96 DANTE H 71 JESUS P 131 STEVIE T
11 BRANDI D 68 JUDITH I 82 ESSENCE P 57 JONATHA T
77 TYLER D 92 WILLIAM J 37 XAVIER P 33 JOHN T
34 JACOB D 51 MICHELE K 52 MARISSA P 32 MARIA V
65 LINDA D 48 CLYDNIS K 41 JAMES P 30 XAVIER W
6 ALYSSA F 97 ALEC K 47 JOSEPH P 17 TIMOTHY W
21 JOSHUA F 1 ANTTRA L 90 ANTHONY R 58 JAMES W
42 BETTY F 5 KLYE L
McIIOnald's Corporation. The material contained herein is the Confidential property of McFOnald~s Corporation.
Any uses copying or reproduction of this material, without the prior written permission of an Officer of Mc~onald~s
is prohibited and may lead to civil and criminal prosecution.