City of Greenville Public Health
2315 Johnson St. Greenville TX 75401 (903) 457-3161
Greenville
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Establishment:
Physical Address:
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Retail Food Establishment Inspection Report
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IN
NA
NO
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Zip:
Yes i No
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Purpose of Inspection:
OUT
5 pts
- 1 a - Permit #
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Owner:
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Expiration Date
RFSM No.
4-Consultation
3-Complaint
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Risk Category:
Phone:
Registered Food Service Manager
2-Follow-up
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5-Other
Temperature/ ime Requirements
Violations Require Immediate Con ective Action
Remarks
1. Proper Cool ing
Cooked/Prepared
,
(41 degrees
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3. Hot Hold (135 degrees Fahrenheit)
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4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
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Item/Location/Temperature
OUT
4 Pts
IN
NA
NO
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COS
II■
_Ill.
Personnel/Handling/Source Requirements
Violations R- • uire Immediate Corrective Action
Remarks
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashing
8. Good 11 e ienic Practices Eatin•Drinkin•/Smokin• Other
9. Approved Source/Labeling
10. Sound Condition
11. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
3OUT
Fts
IIIII.II
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lil NO
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13. Approved Systems (HACCP Plans/Time as Public Health Control)
14. Water Sue e
COS
A• 'roved Sources/Sufficient Ca sad /Hot and Cold Under Pressure
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Facility
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Violations
Remarks
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ct o t to exce d 10 Days
rod
cti uct
u Temperature
15. Equipment Adequate to Maintain Prod
16. Handwash Facilities Adequate and Accessible
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17. Handwash Facilities with Soa• and Towels
18. No Evidence of Insect Contamination
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19. No Evidence of Rodents/Other Animals
20. Toxic Items Properly Labeled/Stored/Used
21. Manual/Mechanical Warewashing and Sanitizing at (
)ppm/temperature
22. Manager Demonstration of Knowledge/Certified Food M4nager
23. Approved Sewage/Wastewater Disposal System, Proper Disposal
24. Thermometers Provided/Accurate/Properly Calibrated (±2 degrees Fahrenheit)
25. Food Contact Surfaces of Es ui a ment and Utensils Cleane•
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- d/Good Repair
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26. Posting of Consumer Advisories (Disclosure/Reminder/Buffet Plate)
27. Food Establishment Permiteispia)
Subtotal
Other violations — Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First
5 pts
4 pts
3 pts
, ‘
Total Score
Follow-Up
Yes
No
Inspected
1
Received b • j,_
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$.41 ■2%
Phone: (903) 457-3146
Print:
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Fax: (903) 457-0503
Title:
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