Schertz ElementaryDEVELOPMENT SERVICES DEPARTMENT
HEALTH DIVISION
1400 SCHERTZ PARKWAY
5CHERTZ, TEXAS 78154-1634
619-1771
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
~' tJ.,. Yes No R %% ') ' ~j ~1
Sae Csde Ma Day Yr hap Tine FPM GerNtied
. ~:,.....:::._.. GFN Permit Na ~'~`
Cat
Purpose of inspection: t-Complimwe ~.2-ltoutine~ 3-Reid investigation 4Visit 3-tither
Establishment. ~ ~ (, ~, ~~;~ ~{ f~% ~ ~, Owner:
Physical Address: -' , ] (~ / (~ ~. ~ , ~ r .`; `~ Zip: Phone; ( )
DEMERITS
3 Pis Food {P1~ TemperatnrdT'Fme Regalreaunta
Violations r+c Immediate Corrective Action Remarks COS
1. Pro Cooling for Cooked/P Food
2. Cold Hold (41 F145
3. 1Tot Hold (140 F)
4. Pr Coalcln Temperatures per PHF
5. id Rehcatin 165 F in 2 Hrs
Remarks
DEMERITS
4 Pts PersonadlHandlirrg/Source Requirements
Violations wire Immediate Corre~etive Action Remarks COS
6. Personnel with Ltfedions RestridedlExcluded
7. ProperlAdequateHandwashing
S. Good H 'ante Practices (Folio Inkin Smoking/Other)
9, ved SourcelL.abeling
1 ~ 10. Sound Condition " ff~`-U , 4 i:rl~ e~ ~_ c;..,: I ~~. ( '. ~~, ~ i `'~~:a~f,+:~~~',
11. Pro r Iiandlin of R -7~-Eat Foods
12. Cross-Coniaminstion of Raw/Cooked Faods/Other
13, ved 5 terns HACCP Plar-4/['Ime as Public Health Corrtral
14. Water Suppl -- Ap raved SourceJSuElieient ity/iiat and Cold Under Pressure
DEMERI'T'S
3 Pts Fatillty aad Equipment Regnlrernents
VioIsdons uire Immediate Corrective Action Not to Exceed 10 Da Remarks C05
13. Equi cot ate To Maintain Product Tern raturc
16. Hand Wash Facilities uate and Accessible
I7. Hand Wash Facilities with and Towels
1&, No Evldenot: of insect Contamination
14. No Evidence ofRodents/IXher Animals
20, Toxic Items I I.abeledlStared/[Ised
21. Manual Ware Washing and Sanitizing at tern lure
22, Mechanical Ware Washin and Sanitizin at ) mltem ute
23. Ap roved Sew eJWsstewater Disposal S tam, Pr r DTs al
24. Thermometers Provided/Accurat 1 Calibrated ~ 2
23. Food Contact Surfaces of uipment and Utensils CleanedlSanitizeci/Good Re air
2b. Postin of Consumer Advisories Heimlich/Raw Shelifash Warni uli'et Piste
27. Food Establishment Permit -Grade Certificate fasted -Food Handlrr Traiaiag
Other Vieriptlans -- V ialatlo~s ltequine Corrective Actions, Not To Exceed 40 Days Or The Next Inspection,
Whichever Come First
Total ~
Demerits i'~sll./t. ~lG~~~~~~6 I,'~ , 1. t i is ~ L', i. ,l,vt .L.L.
;Ifs l.,r,> ~ ~~~rr r, ~ . ~ z ~ c ~.,~ c -'~ r~.-, ~
.- ,~ ~f i ~~,~ !~> t_..1.~~,~ ~?~ r
Total ~/
$OOre ~ ~(J
l
Ins ed S : (._,~ ~ ~; - , ~ ~ 1 , .~ ~ .... _..-~ ~, . ~ Print: r'"C C (` r'r ; , r ~; ~ ~
Follow-Up
Insped~ori -~
YES (I~19' ,
ReQeived >3y ~'~ ' ; .. , _ ~` - ,_~
i. , „ .....
,;
Print:
Title:
WH1[TE -Customer Posting YELLOW -City File PUNK -Consultant File