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:
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