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HomeMy WebLinkAboutRoly Poly 2013.07.25 c(p‘411",°-,„r te �4 < DALLAS COUNTY HEALTH AND HUMAN SERVICES i iC- �nrl y ENVIRONMENTAL HEALTH DIVISION • d �� 2377 N. STEMMONS FRWY. ROOM 607 �',To`F ��+"� DALLAS, TEXAS 75207 214-819-2115 FAX 214-819-2868 ri`Z6'/3 CITY/TOWN LIAi/vE.adi A, San Date Time In Time Out Establishment Number Permit Number Risk Category Code Purpose of Inspection: 1-Compliance 2-Routine 3-Field Investigation 4-Visit 5-Other Establishment: C,. /�c. Owner: / fly / .,1.j,/AS Physical Address: 30. y / Cif/A/4 43, , ) Zip: r� / / �� � P� / J 2.(�5 Phone: (2 11) _36% f C 5 (z7 OUT IN NA NO COS Food Temperature/Time Requirements 5 Pts Violations Require Immediate Corrective Action Remarks V 1. Proper Cooling for Cooked/Prepared Food t.,-' 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit) I' 3. Hot Hold (135 degrees Fahrenheit) LV 4. Proper Cooking Temperatures f! 5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs) Item/Location/Temperature OUT IN NA NO COS Personnel/Handling/Source Requirements 4 Pts Violations Require Immediate Corrective Action Remarks ✓ 6. Personnel with Infections Restricted/Excluded "'� 7. Proper/Adequate Handwashing t� 8. Good Hygienic Practices (Eating/Drinking/Smoking/Other) 9. Approved Source/Labeling 10. Sound Condition 1." 11. Proper Handling of Ready-To-Eat Foods j,'''' L./ 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 IN NA NO COS Facility and Equipment Requirements 3 Pts Violations Require Immediate Correction, Not To Exceed 10 Days Remarks 15. Equipment Adequate to Maintain Product Temperature L,, 16. Handwash Facilities Adequate and Accessible L.° 17. Handwash Facilities with Soap and Towels L-- 18. No Evidence of Insect Contamination 19. No Evidence of Rodents/Other Animals L, 20. Toxic Items Properly Labeled/Stored/Used _ ,i.,- ;,y 21. Manual/Mechanical Warewashing and Sanitizing at ( pm/temperature L.- 22. Manager Demonstration of Knowledge/Certified Food Manager L'® 23. Approved Sewage/Wastewater Disposal System, Proper Disposal v 24. Thermometers Provided/Accurate/Properly Calibrated (±2 degrees Fahrenheit) 25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair V 26. Posting of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate) V 27. Food Establishment Permit Subtotal Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First 5pt 4pt 3pt T6ta1 Inspected by: Print: PND/ PkhLLt�' P Yes/No Received by:_a_ = Print: Title: {-em