Pic N Pac #9DEVELOPMENT SERVICES DEPARTMENT
.HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 781541634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
p , ,~
O~ .
~~S
~"; ~ ; Yes No R {~ (~ (. ~:~ C~
5as Cede Mo Day Yr [sap Tim: FPM Ctrtified
~_.
, CFM Permit Na. l~k
Cit
P aaflrts ton: t-Com fiance 2=Rou
tine '"~ 3-Field Investigation 4-Visit S.OEher
urpos ped' p
Establishment, )! ( ; ~ r'i ~ .-~~~ ~ Owner:
Physics! Address: ~~ r, ~~ ,~ Zip: Phone: { )
DEMERITS
5 Pts Food (PHF) TrmperaMr+dl'imt Itegntrtmtnts
Violations re Immediate Corrective Action Remarks COS
I . Pro Cooling for Cvoked/P Food
2. Cold Hold (41 F14S
3. Hot Hvld (l40 F)
4. Pr Caolcln Temperatures per PHF
5. td Rehestin l65 F in 2 Hrs)
Remarks
DEMERITS
4 Pts PttsonadlHpndNdg/Sourrt Rrguirtmtnts
Violations uire Immediate Corrective Action Rcrnarks COS
6. Personnel with Infections Itestrided/Exeluded
7. Pr rlAd Irate Hand washing
8. Good H g€cnic Practices (Satin inkin Smoking/Other)
9, ved Sourcell.abelin
10. Sound Condition
11. Pro r Handlin of lte -To-Fat Foods
12. Cross-Contamination of €taw/Cooked Foodslt~ther
1 13, roved S tarns IiACCP Plans/Fltne ~ Public Health Control)
14. Water Supply - Ap roved Sour`ceJSufticient Capacity/Hot and Cold Undar Pressure
pFMERi7`S
3 Pts Ftrt:[lity sad Fqulpmtnt Regalrentenb
Violations wire Unmediate Corrective Action Not to Exceed lfl Da Remarks COS
t S. Equi ent ate To Maintain Product Tem ratttre
16. Hand Wash Facilities Irate and Accessible
17. Hand Wash Facilities with end Toweta
18. No Evidence of [ttsed Contamin~ion
19. No Evidence ofRodentslIXhar Animals
~' ~ 20. Toxic Ilems rl I.abeled/Storecll[Ised
21. Manual Ware Washing and 5anitiairtg at } tent store
22. Mechanical Ware Whin and Sanitizin at Mtem urge
23. Ap raved Sew eJWastewater Disposal S tern, Pr r Dis al
24. Thermometers I'rovided/A I Calibrated t 2
25. Food Cvntad Surfaces of Fquiprnent and Utensils Cteaned/Saniti~Good Re air
2b. Pvstin of Consumer Advisories Heimtich/Raw Shellfish W uffct Plate
`_~a 27. Food L'sstablisltment Permit -Grade Certificsta Posted -Food HRadltr T-ntining
Other VittlxHoea -Violations Require Corrective Actions, Not To Exaoed 90 Days Or Tha Next Inspection,
Whichever Come First
Total f ~~
Demerits
Score ~ ~ ' I °}
*,,,, p
~% / ljiis_ . t ~l sr.,,,ii.. € t ~. F
ll 41 ~ l7 r
Prirrt: , ~ ~~' ?:'G~1 G ~ r
Fallow-Up
~>;fr"spectiorti j
Received Sy: ~ ~! ~
Print:l ~ Tit1e.
W ITS - Cttstaner Pasting
YELLOW -City Fite
PINK --Consultant File
r
~~,
CITY OF SCHERTZ
MARSHAL'S OFFICE
ENVIRONMENTAL HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
OFFICE: 619-1671 or 619-1672
NOTICE OF ADDITIONS OR CORRECTIONS
JOB ADDRESS: ~ r~
TYPE OF INSPECTION:
i 1.
r
~~ ~~
.~-
~;':
"/
Date: ~ ~ ~~- Inspector: ~- ~"~ /~
..
Date: ~ ... ~ ~ ~ ~'., Si nature, ~ .
g ,<~~~e',.~.._ A ~:......9 ...
..