Laura Ingalls Wilder IntermediateDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 781541634
G19-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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San Code Ma Day Yr Imp Ttmt FPM CtrHtted CFtV Permit IVo. ~k
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Purpose of inspection; 1-Compliance 2~Routin_ ~ 3-Field Investigation 4-Visit S-Other
Establishment; 1 -r,~{: is !` l'~ f )~ ~~ ~ 1 (L; __, . _~~ ~ Owner:
Physical Address: l~~i~i,~ ' •~s i1 ~ i is /,' f ~ ~ ~ Zip; Phone: ( )
DEMERITS
5 Pts Food {PHF) '£eruperatarn/~'1me Regairemsr~ts
Violations uire Inustediate Corcective Action Remarks COS
1. Proper Cooling for Cooked/P Food
2. Cold Hvld {41 F/~45 ~
3. Hot Hold (140 F)
4. Proper Cookin Temperatures per PHF
S. id Reheatin l65 F in 2 Hrs)
Remarks
DEMERITS
4 Pts PersoasellHsndlingJSource Regairimsttts
Violations uire Tmmediaie Corrective Action Remarks COS
6. Personnel with [nfedions Restridcd/ExCluded
?. Proper/Adequate Hand washing
8. Goad H gienic Practices (Satin inkln SmolcingfOther)
9. ved 5ourcelC.abelin
10. Sound Condition
1 I . Pro r Handlin of R -TaEat Foods
12. Cross-Contamination ofRaw/Cooked Foods/Othe:
13. roved S terns {HACCP Plans/Tlmc as Public Health Control
14. Water Supply - Ap roved Source/Sufiicient CapacitylHot and Cold Under Pressure
DEMERITS
3 Pts Facility ^ad Fquipmsnt Requirements
Violations aire Immediate Corrective Action Not to Exoeed 1p Da Remarks COS
15. Equipment A ate To Maintain Product Terriperaturc
16. Hand Wash Facilities uate and Accessible
17. Hand Wash Facilities with and Towels
18. No Evidence of Insect Contanunation
19. No Evidence of Rodents/Other Animals
20, Toxic Items rl Labeled/Storedlllsed
21. Manual Ware Washing and Sanitizing at { ) tern a#ure
22, Mechanical Ware Washin and Sanitizin at m/tem ure
23. Ap roved Sewage/WastcwaterDisposal S tern, Pr r Dis al
24. Therntometers Provided/AccurateJPro 1 Calibrated d= 2
25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sani#ized/Good Re air
- 26. Posting of Consumer Advisories HeimGch/Raw Shellfish Wamin uR'et Plate
27. Food Establishment Permit -Grade Certificate Posted -Food Handler Training
Outer Violations -Violations Require Corrective Actions, Not To Exceed 90 Days Or The Next Inspection,
Whichever Come First
Total ~{{ .t
Demerits
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ins ed B : = .<~i'si ~r.'; a , ~_i' -' r< < > Print:, ~~f' ~ ~t. ;: ! l.f (,'1 a
Follow-Up
inspection.
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WHITE -Customer Posting
YELLOW ~ City File
PINK - Consultant File
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