Knights of ColumbusMARSHAL'S OFFICE
1400 SCHERTZ PARKWAY
SCHERTZ, TEXAS 7$154-1634
210-619-1GG5
RETAIL FOOD ESTABLISHMENT INSPECTION REPORT
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Sim Colt hfo ~:y Yt In~p Timt FPM Certified CAN ;' Fermlt N0. Riak
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Purpose oflnspection: l-Compliance ~-Rout e ~ 3-Fieldlnvestlgation 4-Visit 5-flthcr
Establishment: ~"
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Physical Address: Zip: Phone: ( )
DEMERITS
5 Pts Food (PHF} Temptrahrrr/I'lnse Requ' xstats
Violations uire Immediate Corrective Action Remarks COS
1. Proper Cooling for Coaked/prepared Food
2. Cold Hold {41 F145 ~
3. Hot Hold (140 F)
4. Proper Cookln Temperatures per PHF
5. id Reheatin I65 F in 2 Hrs)
Remarks
DEMERITS
4 Pts PersnneeUHaadlinglSourct Rtqulrtrnents
Violations uire Immediate Corrective Action Remarks COS
6. Personnel with infections Restricted/Excluded
?. ProperlAdequate Hand washing
8. Good Hygienic Practices (Eatin inkin SmokingJOther)
9, ved Source/I,abefing
10. Sound Condition
t 1. Pra r Handlin of Ready-Ta-Est Faads
12. Cross-Contamination of Raw/Cooked FoodslOther
l3, roved S terns {HACCP Plansrl'ime as Public Health Control)
f 4, Water Supply -Approved Source/Suflieient Capacity/Hot and Cold Under Pressure
DEMERITS
3 Pts Facility aed Equlpmcnt Requlremtnts
Violations wire Immediate Corrective Action Not to Exceed LO Da s Remarks C05
15. Equipment Adequate To Maintain Product Temperature
lb. Hand Wash Facilities A uate and Accessible
17. Hand Wash Facilities with Soa and Towels
18. No Evidence of Insect Contamination
19. No Evidence of RodentslOther Animals
2t), Toxic Items P riy I.abeled/Stored/Cfsed
21. Manual Ware Washing and Sanitizing a! ( ) ppm/temperature
22. Mechanical Ware Washin and Sanitizin al ( ) mltem une
23. Ap roved Sewage/Wastewater Disposal S tern, Pr r Disposal
24. 'Thermometers Provided~AcvvrateJPro I Calibrated (t 2F
25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Re air
26, Posting of Consumer Advisories (Heimlich/Raw Shellfish Warnin ufT'et Plate)
27. Food Establishment Permit -Grade Certificate Posted -Food Handler Tralnlag
Othtr Violatlnna -Violations Require Corrective Actions, Nat To Exceed 90 Days Or The Next Inspection,
Whi hever Come First
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Total
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Follow-Up
Inspection
YES NO
Received By~ i~ 'f
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