John A Sippel ElementaryDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
b19-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Purpose of inspection: t-Compliance ~=Routiri~ 3-Reid investigation ~1-Visit 5-Other
Establishment. fi~~1 ~ ~ `> "~~':~~' 1. ( ,~t~ii';~~~«'r ~ Owner:
Physical Address: C ~) ~ ' ! ~~ i ~ i . y p ~ ~.` ~ ~~ ~.. Zip; Phone: ( )
DEMERITS
5 Pts Food (PHi~) Temperatareli'irne Regnirerarents
Violations uire immediate Corrective Action Remarks COS
I. Proper Coaling for Cooked/P Food
2. Cold Hold (41 F/AS F}
3. Hot Hold { 140 F)
4. Proper Cookln Temperatures per PHF
5. id Reheadn 165 F in 2 Hrs}
Remarks
DEMERITS
4 Pts 1?ersonBellHandtieglSource Requirements
Violations wire immediate Corrective Action Remarks COS
6. Personnel with lnfedions Restrided/Exeluded
7. Draper/Adequate Hand washing
8. Good H gienic Practices {Folio inkin SmokingJOther)
9, ved SourcclC.abeling
I4. Sound Condition
I i. Pro r Handlin of R -To-Eat Foods 3
l2. Cross-Contamination ofRaw/cooked Foods/Oiher
l3, roved S terns (HACCP Plansll'i~ne as Public Health Control)
i4. Water Su roved SourcelSuiiicient CapacityMot and Cold Under Pressure
DEIvfERfl'S
3 Pis Facility and lEquipmertt Regairemeats
Violations wire irr-mediato Corrective Action Not to Exceed i0 Da Remarks COS
I5. Equipment A ate To Maintain Product Temperature
iti. Hand Wash Facilities uate and Accessible
i7. Hand Wash Facilities with and Towels
l8. No Evldence of ]nsect Contamination
19. No Evidence of Rodents/Other Animals
2fi, Toxic Items r1 LabeledlStored/Used
21. Manual Ware Washing and Sanitizing at ( ) temperature
22. Mechanical Ware Washln and Sanitizin at m/tem urti
23. Ap roved 5ewagelWastewaterDisposal S tern, Fr r Dis al
24. Thermometers Providcd/AceuraielPro 1 Calilxated t 2
25. Food Contact Surfaces of Equipment and Utensils Cieaned/Sanitized/Csood Re air
26. Postin of Consumer Advisories Heimliah/Itaw Shellfish Wamin uffet Plate
27. Food Establishment Permit -Grade Certificate Posted -Food Hatrdler Training
Other VI4IYfI4nS - Vlalatior~s Require Corrective Aciion3, Not To Exceed 94 Days Or The Next Inspection,
Whichev Come First
DemeriEt~;
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Total ~
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Follow-Up
inspection
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Itegeived Bye ~, (,
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Title:
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WHITE _ Customer Posting}
YELLOW--City File
PINK - Con~uttant File
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