S & S ExxonDEVEL®PMENT SERVICES DEPARTMENT
HEALTH DIVISI®N
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL F®®D ESTADLISHMENT INSPECTI®N REPORT
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San Cads Mo day Yr lneg Ti®s FPS11 Csrfi&d CFlV Permit IVa. Aie1~
Cat
Purpose of Inspection: 1-Compliance 2=Rrnitine :; 3-Field hnvestigation 4Visit 5-Other
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Establishment: `' ., Owner:
Physical Address: ~ Zip; Phone: ( )
DEMERITS
5 Pts Food {PHF) Tea'iperatat~Iiiasa 1@~gnirtaseats
Violations 're immediate Corrective Action R~.~ COS
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold 41 F/45 F)
3. Hot Hold (140 ~
4. Proper Cookin Tempes~atures per PHF
5. id Reheatin iG5 F in 2 Hrs
Remarks
DEMERITS
41'tc 1°erseatrellHaadlieg/Souree Reguiremeats
Violations wire immediate Corrective Action Remarks COS
6. Personnel with infections Restricted/Excluded
7. Proper/Adequate Hand washing
8: Good H gienic Practices (Eating/ikinkin Smaking/Other)
9, ved Souroe/l.abeling
10. Sound Condition
1l. Pro Handlie of Ready-To-Eat Foods
12. Cross-Contamination of Raw/Cooked FoodslOther
13. roved 5 toms HACCP Plans(fitne as Public Health Control)
14. Water Supply - Ap roved Source/Sufficie~ Capacity/Hot and Cold Under Pressure
DEMERITS
3 Pts Facility and Equipment Requirements
Violations wire hnmediate Corrective Action Not to Exceed 10 Remarks COS
t 5. Equipment Adequate To Maitrtain Product Temperature
l6. Hand Wash Facilities uate and Accessible
l7. Hoed Wash Facilities wish and Towels
l8. Na Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic items Properl i.abeled/Stored/LTsed
21. Manual Ware Washing and Sanitizin at ( ) ppm/tem afore
22. Mechanical Ware Washin and Sanitiz'sn at ( ) m/tem
23. Ap roved 5ewage/Wasiewater Disposal S em, Proper Disposal
24. Thermometers Provided/AccuratelPro 1 Calibrated ~ 2
25. Food Contact Surfaces of uipment ~ Utensils CleanedlSaniti~ed/{`~ood R 'r
26, Posting of Consumer Advisories (Heimlich/Raw Shellfish W uffet Plate)
27. Food Establishment Permit -Grade Certificate Posted -Feed Handler Trriaiag
Other Violatioas -Violations Require Corrective Actions, Not To Exceed 90 Days Or The Next inspection,
Whichever Come First
Total
Demerits
Total
Score ~
Ins ed B ~ Print: -
Follow-Up
inspection
1~E~' NO
Received 13y:
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Print:...
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Title:
W liiTE - C:ustotner Pasting
YIL;i.I.(DW -City File
P1N1~ -- Consultant File
NOTICE OF ADDITIONS OR CORRECTIONS
.DOE ADDRESS : ~~'
TYPE OF INSPECTION: ~ ~.
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