HomeMy WebLinkAboutPi Kappa Alpha 02.07.12OOJti1TY OFO
DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
a�TyT f OF DALLAS, TEXAS 75207
214 -819 -2115 FAX 214 -819 -2868
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CITY/TOWN
S
Code
Date
Twine In '. ,
Time Out
Establishment lviumber,
Permit Number
Risk Category.
Purpose of Inspection:. 1 Compliance - outuie 3 -Field Investigation`. 4 -Visit 5 -Other
Establishment:
.Owner: A/,1,S
Physical Address: -YEA,
Zip:,''
Phone: ( )
OUT
5 Pts ,
IN
NA.
NO
COS
li od Tenipeaature/Tim0 Requirenaents
Violations Require Irnnedaatie Corrective Action _ Remarks
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
f/
5. Rapid Reheating 165 degrees Fahrenheit in 2 Hrs)
Item/Location/Temperature
OUT
Pis
1,V
--
NA '
,NO
COS
Personnel/Handling/Source requirements
Violations Require Immediate Corrective Action Remarks
--
—
-
6. Personnel with Infections Restricted /Excluded
7. Proper/Adequate Handwashin
O
8. Good Hygienic Practices (Eatin /Drinkin /Smoking /Other)
9. Approved Source/Labeling
10. Sound Condition
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 I
IN `
NA '
NO '
' COS
' Facility and Equipment Requirements
Violations Require Immediate Correction, Not To Exceed 10 Days '.. 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
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
4t
3t
Total
Inspected by:
Print:.
ROD-
Yes/No
Received by°
�'
Print:
Title:
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