HomeMy WebLinkAboutMac's Place 01.20.12(J 0JN'rY 0,
DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
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OF DALLAS, TEXAS 75207
214- 819 -2115 FAX 214 - 819 -2868
CITY/TOWN / 11€ S1
Item/Location/Temperature
5pt
apt
0
Inspected by: (,� / r 1 Print: i� L-1-1
F/U �
FfU Received by: _ Print/ -n Title
Yes/No
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashina
8. Good Hygienic Practices (Eatin /Drinking /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
13. Approved Systems (HACCP Plans /Time as Public Health Control)
14. Water Supply - Approved Sources /Sufficient Ca acit /Hot and Cold Under Pressure
OLTT -
3 -s"
IN
NA° `
NO
COS
'Facility grid Equipment Requirements
Violations, Re litre. ImmedialeCorrection, Not" To Exceed 1 "Q Days° Remarks K
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 ("Pm/temperature
22. Manager Demonstration of Knowledge/Certified Food Manager
23. A roved 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)
27. Food Establishment Permit
Subtotal
Other Violations - Require Corrective Action, Not "to Exceed 90 Days or the Next Inspection, Whichever Comes First
5pt
apt
0
Inspected by: (,� / r 1 Print: i� L-1-1
F/U �
FfU Received by: _ Print/ -n Title
Yes/No