Handy AndyDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154 -1634
619 -1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
//PWHITE — Customer Posting
T ELL4uw —city File
PINK — Consultant File
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2
Yes I No
I R
O !/ J
an Code
Mo
I Dry
I Yr
I loep Time
FPMCtrafitd
CFN
Permit Na
Rkk
Cat
Purpose of Inspection: I- Compliance 2- Routine 3 -Field investigation 4 -Visit 5.01her
Establishment: -
(11' f t f l" d L
Owner:
Physical Address: 6 (: /) 0 r �S� V
Zip:
Phone: ( )
DEMERITS
5 Pis
Food (PHF) TemperatarwThat Requirements
Violations 're Immediate Corrective Action
Remarks
COS
I. Proper Cooling for Cooked/P Food
j
2. Cold Hold (41 F/45 F)
3. Hot Hold (140F)
4. Proper Cooking Temperatures per PHF
5. Rapid Reheating 165 F in 2 Hrs)
Remarks
DEMERITS
4 Pis
PenonneYNandling /SourceRequUementa
Violations Require Immediate Corrective Action
Remarks
COS
6. Personnel with Infections Restricted/Excluded
7. Proper /Adequate Hand washing
8. Good H gienic Practices (Eatin inkin SmokinglOther)
9. Ap ved Source/Labeling
t-
10. Sound Condition
11. Proper Handling of Ready-To-Eat Foods
t-
12. Cross - Contamination of Raw /CookedFoods/Other
13. Approved Systems (HACCP PlansMme as Public Health Control)
14. Water Supply— Approved Source/Sufficient Capacity/Hot and Cold Under Pressure
DEMERIT'S
3 Pts
Facility and Equipment Requirements
Violations Require Immediate Corrective Action Not to Exceed 10 Da
Remarks
COS
15, Equipment Adequate To Maintain Product Temperature
16. Hand Wash Facilities Adequate and Accessible
17. Hand Wash Facilities with Soap and Towels
r }>
18, No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic items Properly Labeled/Stored/Used
21. Manual Ware Washing and Sanitizing at ( ) ppirittemperature
22. Mechanical Ware Washing and Sanitizing at ) ppratteraperature
'
23. Approved Sewage/Wastewater Disposal System, Proper Disposal
24. Thermometers Provided/Accurete/Pro 1 Calibrated t 2
25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
26. Postin of Consumer Advisories Heimlich/Raw Shellfish Warning/Buffet Plate
27. Food Establishment Permit —Grade Certificate Posted —Food Handler Training
Other Violations — Violations Require Corrective Actions, Not To Exceed 90 Days Or The Next Inspection,
Whichever Come First
Total d /. l G)'
Demerits
-
Total "� I
Score (
Ina ed B :
Follow -Up
1lInspection
YES NO
✓
Received By
//PWHITE — Customer Posting
T ELL4uw —city File
PINK — Consultant File
V
ids CITI, CITY OF SCHERTZ
oa �o MARSHAL'S OFFICE
ENVIRONMENTAL HEALTH DIVISION
H 1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154 -1634
OFFICE: 619 -1671 or 619 -1672
N I OF ADDITIONSU'Ril
JOB ADDRESS: 16 d
TYPE OF INSPECTION: .
f'G� ler
I
GAF- � ����k 1G�C% P��LI> ��t ����� (,,� ���GI✓
V (,t rt, -vrr�
Date: Inspector:
Date: Signature:
VI: �
CITY OF SCHERTZ
MARSHAL'S OFFICE
ENVIRONMENTAL HEALTH DIVISION
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 78154 -1634
OFFICE: 619 -1671 or 619 -1672
9::1-:_3.1
TYPE OF INSPECTION:
Date: Inspector:
Date: �� �� �� =� Signature: