SAS Factory Shoe StoreDEVEL®PIVIENT SERVICES DEPARTMENT
IIEALT~I DIVISI®N
1440 SCHERTZ PARI~lVA~'
SCHERTZ, TEXAS 7154-1634
619-1771
RETAIL F®®D ESTABLISHMENT INSPECTI®N REP®RT
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SrsCode Mo Dsy Yr Ieep'iime FPIWiCertlSed
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Purpose of inspection: 1-Compliance ;~=Routine". 3->•ield ]nvestigation 4-Visit 5-0ther
Establishment: ~
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Physical Address: ~ " „ Zip: Phone; ( )
DEMERITS
5 Pts Food (PHF) 'Ce~nperautoarr/Ta~ Requiremrntt
Violations wire Immediate Corrective Action Remarks C®S
1. Proper Coaling for Cooked/1'repared Foal
2. Cold Hold (41 F/45 F)
3. Hot Hold { 140 F)
4. Proper Cookin Temperatures per PHF
5, id Reheatin 165 F in 2 Hrs}
Remarks
DEMERITS
4 Pts PersonneUHanclling/Spiarce Requirerneets
Violations wire Immediate Corrective Action .Remarks COS
6. Personnel with ]nfectians Restricted/Excluded
?. Proper/Adequate Hand washing
8. Good Hy 'ante Practices (EatingJDrinkin Smoking/Other)
9. ved Source/L,abeling
L0. Sound Condition
11. Pr r Handlin oTR -To-Eat Foods
l2. Cross-Contamination of RawlCooked Foods/Other
l3. roved Systems (HACCP Pians~me as Public Health Control)
14. Water Supply - Ap roved SourceJSufficient CapacityRiot and Cold Under Pressure
DEMERITS
3 Pts Fscility and Equipment Regoiremente
Violations wire immediate Corrective Action Not to Exceed 10 Remarks COS
t S. Equipment Adequate To Maintain Product Temperature
16. Hand Wash Facilities vote and Accessible
17. Hand Wash Facilities with and Towels
18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Otfier Animals
20, Toxic Items 1 I_abeled/Stored/Used
21.. Manual Ware Washing and Sanitizing aS ( ) ppmItem lure
22. Mechanical Ware Washin and Sanitiain at ( ) mltern
23. Approved Sewagc/Wastewater Disposal S tam, Proper Disposal
24. Thermometers Provided! 1 Calibrated t 2
25. Food Contact Surfaces of Equipment and Utensils CleanedlSanitizedlGood R 'r
26, Postin of Consumer Advisories (Heimlich/Raw Shellfish W uI}'et Plate
27. Food Establishment Permit - Glade Certifecate Posted -Food H:ndler Trriaing
Other Violations _ Violations ILequire Corrective Actions, Not To Exceed 90 Days Oe The Next Inspection,
Whichever Come First
Total
Demerits
Total ; ;
Ins ed B . Print•
,~~ ,.
Follow-Up
Inspection-,
YES N4
Received $y;
Font:
Title'
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