HomeMy WebLinkAboutRoly Poly 04.25.12�NT Y °F
�° ° DALLAS COUNTY HEALTH AND HUMAN SERVICES
!. ry ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
�T'Te
of ��� "� DALLAS, TEXAS 75207
214- 819 -2115 FAX 214 -819 -2868
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CITY /TOWN
San
Code
Date
Time In
Time Out,:
Establishment Number.
Permit Number.,
Risk Category
Purpose of Inspection: 1- Compliance 2 outine )' 3 -Field Investiaation 4 -Visit 5 -Other
Establishment: L L-
Owner: €
Physical Address: 3cO 7 4$ 10CA -d"Za
Zip: % Z
Phone:
OUT
5 Pts
1N" '
NA
NO
COS
Food Temperature /Times Requirements
Violations Require Immediate 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
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs
Item/Location/Temperature
OUT
4 Pts
IN
NA
NO"
" COS
- Personnel/Handling /Source Require tents
Violations Requzre,Xrriinediate Corrective Action Remarks """
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashin
8. Good Hygienic Practices (Eatin rinkin /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 Capacity/Hot and Cold Under Pressure.
OUT
3 Pts
IN `
NA
NO
COS"
-
":Fi cility;and" Equipinent Requirements
Violations Re wire Imri ediate:;;Correction, Not To Exceed 10 Days Remarks
15. Equipment Ade uate to Maintain Product Temperature
_
F
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 Da s or the Next Inspection, Whichever Lorries First
5pt
4t
3t
TotaC
Inspected by: S'
Print:,
FR T
Yes/No
Received by: >
Print:—
Title: