John Paul II Catholic HSDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
3'l v
1~ , ~
~,,
~~,~
~~~~~~ .~
~,~~y
~~~ ). ~~ Yes No R ~~ (~> °7 `~ ~i
San Code Mo t)ry Yr twp Tuna FPM CerNCiad CFN Permit Ne. ~'~
C~!
Purpose of inspection: 1-Compliance ,~- 2•Routh j 3-Field Investigation 4-Visit 5-Other
Establishment: ~ ..
l; ; E ; -~l'{-~. Ut i ~ ~ 1~;' / t i ~ t ~~~
Owner:
Physical Address: ~ r. i~- l ~ ~' F zip: Phone: ( }
DEMERITS
5 Pts Faad (PHF) Temperatare/Tlme Regairenaeets
Vlolations wire Immediate Corrective Action Remarks COS
1. Fro Gaoling for Cooked/P Food
2. Cold Hold {41 F/45
3. Hot Hold (140 F)
4. Pr Cookln Temperatures per PHF
5. id Rebeatin 1651~ in 2 Hrs)
Remarks
DEMERITS
4 Pts Personiaei`/Hsadling/Saurce Requirerneats
Violations wire Immediate Corrective Action Remarks COS
b. Personnel with Infections Res#ricted/Excluded
?. Proper/Adequate Hand washing
8. Good H gienic Practices (Satin inkin SmokingJOther)
4. Ap ved Source/i.abeling
10. Sound Condition
11. Pro r Handlin of Ready-To-Eat Foods
~ 12. Crass-Contamination of RawlCooked FaodslOther
~( 13. roved 5 terns (HACCP Plans/rime as Public Health Control)
14. Water Supply - Ap raved SourreJSuliicient Capacity/Hot and Cotd 1lnder Pressure
DEMERPFS
3 Pts lFxcllity and Equips~nent Rtgalremen[e
Violations wire Immediate Corrective Action Not to Exceed 10 Da Remy COS
15. Equi meat Adequate To Maintain Product Temperature
16. Hand Wash Facilities uatc and Accessible
17. Hand Wash Facilities with and Towels
1$. No Evidence of [nsea Contamination
19. No Evidence afRodents/Other A»imals
20. Toxin hems r1 Labeled/Stored/[Ised
``?, 21. Manual Ware Washing and Sanitizing at ('i ) teinper~urc r..._~
22. Mechanical Ware Washin and Sanitizin at ) m/tem ure
23. Ap roved 5ewage/Wastewater Dispose) S tern, Pr r Disposal
24. Thermometers ProvidedlAccurstelPro 1 Calibrated t 2
25. Food Contact Surfaces of uipment and Utensils CEeaneNSanitizedlGood Re air
26. Postin of Consuruer Advisories (Iieimlichlltaw Shellf-sh W uffet Plate
27. Food Establishment Permit -Grade Certificate Posted - Fo®d Handler Training
Otlrer VialeHona -- Violations Require Corrective Actions, Not To Exceed 9Q Days Or The Next Inspection,
Whichever Come First
'T'otal ~ r~
nem ~ -
To ~~,!
SCq ~1 ~' ~
;
Ins ed B ~ ~ ~ ~
~.f; i .~~. <<r ~'I ~~
~~:
.
Pant: S#~ ,~%:; ~ I" ~',,
Fallow-Up
~~ iN0 `
<
Received Sy: ~ ~~.,..~ ,~j`
Print: ~ .<1 ,f 1'l r ~;j ~~~.-
Title: ~'. S Sr . ~ / ,, ; ,rf
H1TE -Customer Posting
r
YELLOW -City File
PINK -Consultant File
`~
NOTICE OF ADDITIONS OR CORRECTIONS
~oB ADDxESS;
~..,
TYPE OF INSPECTION: ~t ~~'~~ ~- ~ r
i~
f t_ 1~~i~r(
i
~ ~~l~r~i:'",1rr ~.
~
(i
~
~~ )7r, i / 1~~>~~jii!(
1
1
~E~rf(~~l ~,~~'~~~~f~
..,,,
l f t` l ( ~/ ~ l~l
f / Z6 ~ ~ j ~ - ,~
! r ~."~~! f r~' .~~ 1 ~ I 1 ~
L` V
/~ Ci 1/~ l ~ t f '~ r ,~5 ~~j
ll- LI;1 <; } ~,,~.
1
~~; ~%,~rr-./~~ ,'
s ~. I~~r I"ik" ~'~~r', r . ~ `j"/~\, ~
l 'Lr . r.`t'r ~,~, ~~) ~ ~i ~. ,
;;~?~
,~~ j; r
D te: r' ~ ~ / ~- Inspector:
~~~~
~ ;
~.:,..~
~ r;'~ , ~ ~ ' Date: ~jJ ~ Signature:
~.~~ i ;
/i
V
t
~~ ~~ {~ ~~rl~~~rl 4~~fl~t(i ~~~t7~~ 1~ j~~~ ~1 I il~lr' ~i>if'„1 /r'f'
... ..... _a:_ N: _ ~ } ~ .v
{ ~~ f ~ ~/ l
rJ~~~• ~~/ ~ (! 1 I ~ F~~ :I~(, i ~ ~ ! r' CT l t ~.-, ~ ~:~ >~ ~1L ~~ ~ ~~r ~~ l ~[~, ~ ~' ~J~~~~'v~.
..-_.