HomeMy WebLinkAboutCadeaux 06.22.12JLyTY OF
DALLAS COUNTY HEALTH AND HUMAN SERVICES
> ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
`�TgTF O f ���ch DALLAS, TEXAS 75207
214 -819 -2115 FAX 214- 819 -2868
6 —Z Z—/
CITY/TOWN
San...
Code
Date
Time In:
Thine Out
Establishment Number
Permit Number-
Risk Category
Purpose of Inspection: 1- Compliance 2 outine 3 -Field Investigation 4 -Visit 5 -Other
Establishment: A )
Owner:
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Physical Address: 50& L– 'vn -1-5,
Zip: 75
Phone: (11LI �_5 --
OUT
5 Pts,.
IN
NA. .
NO
COS.
Food Temperature/Time Requirements.
Volatons-Require Immediate Corrective Action ., . Remarks
e
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit
t
3. Hot Hold (135 degrees Fahrenheit)
s
4. Proper Cooking Temperatures
5. Ra id Reheating (165 degrees Fahrenheit in 2 Hrs)
Item/Location/Temperature
OUT
4 Pts
IN
NA
NO
COS
' Personnel/Handling/Source Requirements
Violations Require Immediate Corrective Action Remark
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashin
�—
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
9. Approved Source/Labeling
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10. Sound Condition
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11. Proper Handling of Read To -Eat Foods
12. Cross - contamination of Raw /Cooked Foods /Other
13. Approved Systems (HACCP Plans/Time as Public Health Control)
14. Water Supply - Approved Sources /Sufficient Capacity/Hot and Cold Under Pressure
OUT
3 Pts .
IN
NA
NO
COS
,Facility and Equipment Requiremen s
Violations Require Immediate Correction, Not To Exceed 10 Days Remarks -
a/
15. Equipment Ade uate to Maintain Product Temperature
16. Handwash Facilities Adequate and Accessible
17. Handwash Facilities with Soap and Towels
18. No Evidence of Insect Contamination
19. No Evidence of Rodents /Other Animals
20. Toxic Items Properly Labeled/Stored/Used
21. Manual/Mechanical Warewashing and Sanitizing at ( ) m/tem erature
+�
22. Manager Demonstration of Knowledge/Certified Food Manager
23. Approved Sewage/Wastewater Disposal System, Proper Disposal
24. Thermometers Provided/Accurate/Properly Calibrated ( ±2 degrees Fahrenheit)
25. Food Contact Surfaces of Equipment and Utensils Cleaned /Sanitized/Good Repair
26. Posting of Consumer Advisories ( Heimilich /Disclosure/ReminderBuffer Plate)
f
27. Food Establishment Permit
Subtotal
Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First
St
4t
3t
Total
Inspected by:
Print:
F/U
Yes/No
Received by:
Print:
Title: