HomeMy WebLinkAboutOlivella's 04.24.12Govt3TY 0, 10
DALLAS COUNTY HEALTH AND HUMAN SERVICES
- > ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
1P 2377 OF �� + "' DALLAS, TEXAS 75207
s� 214- 819 -2115 FAX 214- 819 -2868 . ._
CITY/TOWN/� %1%j/ %7,G
San
Date
Time .In .
Time Out
rnent Number
ermit NCode umber
Risk Category
Purpose of Insoectiow 1- Compliance. - outine . 3 -Field Investigation 4 -Visit 5 -Other
Establishment: I
Owner: >A. K� -
PhysicalAddress: J``��i� /�'�%
Zip:?
Phone:
OUT
5 Pts .
IN
NA
NO
COS.
Food Temoerature/` Time Requirements
Violations Require Immediate" Corrective :Action Retnarks
-'
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit /45 degrees Fahrenheit)
3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item/Location/Temperature
OUT
4 Pts
IN
NA
NO
COS
Personae Alani dfing /Source Require �xents
Violations Require Immediate Corrective Action Remarks
�r
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashin
c�
8. Good Hygienic Prac ' E_ atin /Drinkin /Smokin /Other)
9. Approved So c abelin
s
10. Sound Conditi
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 - A roved Sources /Sufficient Capacity/Hot and Cold Under Pressure
OUT
3 Pts
IN
NA
NO
COS
Facility and Equipment Requirements
Violations Require Immediate Correction, Not To Exceed 10 Da s '= Remarks
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
i/
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)
27. Food Establishment Permit
Subtotal
Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First
5pt
4t
3t
Tota
Inspected by: /
Print: 0. /-
F/U
Yes/No
Received by:
Print: /L^
Title: