Northcliffe GCDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
G19-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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San Code Mo Day Yr Iie~p Time FPM Cerfifled
_.__ CFH Per~El Na. ~~
Cef
Purposeoflnspedion: 1-Cornpiiance ~~-Rou!€ne`~ 3-Fieldlnvestigation 4Visit 5-0ther
Establisitmerd: ~ ~;y .. ; (~ ~ i ~ ~ : ~~ _ (~~ Owner:
Physical Address: ~,,'~?~• ('/. ~ ~ t ~ t 1. ~7 ~~~ ~ "j , Zip: Phone, ( }
DEMERITS
5 Pts Food (PHF) Tempera rrI'I'Irne Ralplreerents
V€olations 're Immediate Corrective Action Remal.ks COS
I. Pro Coolin for Cooked/P Food
2. Cold Hold 41 F/45
3. Hot Hold (14fl ~
4. Pro Cookin Temperatures per PHF
5. id Rel-eatin 155 F in 2 Hrs)
Remarks
DEMERITS
4 Pts IPersonaedlHaadHng/Soarcc Requirements
Violations wire immediate Corrective Action Rcmarlcs COS
6. Personnel with Infections Rcstridcd/Excluded
7. Pr r/Adequate Hand washing
8. Good H gitnic Practices (Satin inkin Smolang/~ther)
9. ved 5ow~oell.ahelin
i4. Sound Condition
1I. Pro rNandlin of Re •To-Eat Foods
l2. Cross-Contam€nation of Raw/Cooked FoodslOther
l3. roved 5 tams HACCP Plans/Time as Public Health Control
14. Water Supply -- Ap roved Saurce/Suflicient Gapacity/Hot and Cold Under Pressure
DEMERITS
3 Pts Frlcilky rend Fgaipmcnt Rs~aire;tincnts
Violations uire Imrncd€ate Calrcctive Action Not to Exceed I4 Da Remarks COS
i 5. Equi ant A ate To Mai ntain Praduet Tern nature
i6. Hand Wash Facilities uate and Accessible
i7. Hand Wash Facilities with and Towels
18, ~No Evidence of lnsed Contamination
i4. No Evidence of Rodents/Otht:r Animals
24. Toxic Items r1 Labeled/Stored/Ilsed
21. Manual Ware Washing and Sanitl~ing at ( ) tam store
22. Meehan€ca! Ware Wa91un and Sanitizin at ) m/tem ore
23. Ap roved Sew elWastewater Disposal S tam, Pr r Disposal
24. Thermometers Pravided/A 1 Calibrated t 2
25. Food Contact Surfaces of ui ment and Utensils CleanedlSanitized/Good Rc air
26. Postin of Consumer Advisories (Heimlich/Raw Shellfish W uffct Plate
27. Food Establishment Permit --Grade Certificate Pasted -Food Hrradler Trllirliag
Otlfer Violations -Violations Require Corrective Actions, Not To Exceed 94 Days Or The Next inspection,
Whichever Come First
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Follow•Up
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Print:
Title:
~r' WH[TE `~tastotner Posting
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YIPiK - (;ottsultartt File
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