HomeMy WebLinkAboutUP Elementary 02.10.12`Q ")%ATY 0, 10
DALLAS COUNTY HEALTH AND HUMAN SERVICES
F �y ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
.1P of �� + "' DALLAS, TEXAS 75207
214 - 819 -2115 FAX 214- 819 -2868
I N -vi Z,
1
CITY/TOWN
San
Code .
Date
Time In
Time Out
Establ'shment Number':
Permit NmAber
Risk. Category
purpose of Inspectiion: 1- Compliance outine 3 Field Investigation 4—Visit, 5- 0ther
Establishment:
Owner:
Physical Address: 360
/ -7,''m ,d -
Zip: j
Phone:
OUT
5 Pts
IN
NA
NO .'COS
.Food Teinperature/Tiime Requirements
Violahgns Require Immediate Corrective Action Remarks
1. Proper Coolin g for Cooked/Prepared Food
s+?
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
Personhel/Hananng/souree Requirements
Violations Require Immediate Corrective Action 12eniarks
6. Personnel with Infections Restricted/Excluded
�-"
7. Proper/Adequate Handwashin
f/
8. Good Hygienic Praqiees a n /Drinkin /Smokin /Other)
9. Approved Sour elin
v°
10. Sound Condition
d.
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 CapacityMot and Cold Under Pressure
OUT
Pts -
IN'
NA
NO
( COS
Facility and Equipment Requirerriemts
Violations Re wire Innnediate Correction; Not To Exceed 10 Da s ` , Reriiarlcs
V
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 o
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
boll
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
Total
Inspected by:J
d
Print: �� /.
F/U
Yes/No
Received by �i�/ i
Print:
Title:
I N -vi Z,