Norma Paschal ElementaryDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
~~.
~~
L
7 Yes No R ~";
Sra Code Mo Dry Yr trip T{me FPM CerNSed CFI+t Peraitt Ne. ~&
Crt
Purpose of Inspection: 1-Compliance ~=Rou#ine) 3-Field invesllgation 4-Visit S-0ther
Establishment: j"~lJf b~,'~L-i '(,~~,~~ ~, .a F'~'~~-r hr ~ ."(rt ~- ~ Owner:
Physical Address; ~.~"("'(J `~u'?. /~~ ~ t d ~G~ ; 3 ..)~ Zip: Phone: ( }
DEMERITS
5 Pts Food (PHF) Temperahrre/li'ims Requlre~tents
Vialetions uir+e Immediate Corrective Action Remarks COS
1. Prager Cooling for CaokedlP d Food
2. Cold Hold {41 F/4S F}
3. Hot Hold (1A0 F)
4. Proper Cookln Temperatures PHF
5. id Rcheatin 165 F in 2 Hrs
Remarks
DEMERIT'S
4 Pts PersonueUHaadling/Soerce Reyuiremeats
Violations uire Immediate Corrective Action Remazks COS
6. Personnel with Infections Restricted/Exc[uded
?. Proper/Adequate Hand waslun
8. Good H gienic Practices (Satin inkin Smoking/Other)
9. Ap `"' ved Source/l.abeling
!0. Sound Condition
I I. Pro r Handlin of Re -To-Eat Foods
12. Cross-Con#amination of Raw/Cooked FoodslOther
i 3. roved Systems (HACCP Piatu/fime as Public Health Control)
14. Water Supply - Ap roved SourcelSufficient Capacity/Hot and Cold Under Pressure
DEMERITS
3 Pis Fxcllity and Equlpmert! ltequlremeats
Viola#ions wire Immediate Corrective Action Not to Exceed 10 F?a Remarks COS
15. Equipment Adequate To Maintain Prvdud Temperature
16. Hand Wash Facilities uate and Accessible
17, Hand Wash Facilities with and Towels
18, No Evidence of Insect Contamination
19. No Evidence of RodentslOiher Animals
2A Toxic Items rl LabeledlStoredlUsed
21. Manuel Ware Washing and Sanitizing at ( } tern ature
22. Mechaivca! Ware Weshin end Senitizin at ) m/tem ur+e
23. Ap roved Sew elWastewater Disposal S tam, Pr r'Disposal
24. Thermometers PravidedlAccurate/Pro I Calibrated t 2
25. Food Contact Surfaces of uipment and Utensils Cleaned/Sanitized/Good Re air
26. Posting of Consumer Advisories {1-leimliclt/Raw Shellfish Wacnm uffet Plate)
27. Food Establishment Permit --Grade Certificate Pasted -Food Handler Training
Other Vinlptietts - Viaiations Require Corrective Actions, Not To Exceed 90 Days Or The Next Inspection,
Whichever Come First
Total ~rr~~
Demerit~~
Total
Score ~ ~~ ~
~ ~ /
f.; ,( ~~,~.~~ - ~t, Print. ~ ; ' ~,,,~.~~r ~ ,~_i
Foliaw-Up
Inspecti
YES ~0 ,\ ~ 1.".,-
R ived By, i, ~~ ~
~ .~ ~L ~ .~~'
~~ ~~~~
•
Pri { J ]
~i f ] ~~ tr ~(;~. ~'1 ~ t U ~~
11~r l~~~r~..._
Title
~ ..~
WHTTE -~C(istom~r Posting . ~ `-' YELLOW -City Pile
PINK -Consultant Fite