HomeMy WebLinkAboutPi Beta Phi 2014.01.23 0°1 .1`F DALLAS COUNTY HEALTH AND HUMAN SERVICES
,q
i' 4,-) v; ENVIRONMENTAL HEALTH DIVISI
'- 4� r‘ •1 d 2377 N. STEMMONS FRWY. ROOM 607 •
• .J�,�..I DALLAS, TEXAS 75207
sT ��.—'.fir
're OF- - 214-819-2115 FAX 214-819-2868 _
MIMICITY/TOWN ��,1,/�12s11`l aa
San Date Time In Time Out Establishment Number
Permit Number Risk Category
Code _',"' "'_..
Purp
ose of Inspection: 1-Compliance 2-Routine 3-Field Investigation 4-Visit 5-0t her
P
.�. ,-. �' Owner: L,./`� /�r=i�����
Establishment: /-71/ /3z l �` CV? !`
D Zip:`,
�6��� Phone: ( )
Physical Address: / / /� `'`1 Z.
OUT NA NO COS Food Temperature/Time Requirements Remarks
5 Pts Violations Require Immediate Corrective Action
�-- a'' 1. Pro•er Coolin: for Cooked/Pre•ared Food
2. Cold Hold 41 de:rees Fahrenheit/45 de:rees Fahrenheit)
� � to-0" 3. Hot Hold (135 de:rees Fahrenheit)
_—_ 4. Pro•er Cookin: Tem•eratures
_—_ 5. Ras id Reheatin: (165 de:rees Fahrenheit in 2 Hrs)
Item/Location/Temperature
OUT NA NO COS Personnel/Handling/Source Requirements Remarks
4 Pts Violations Require Immediate Corrective Action
IMIIIII 6. Personnel with Infections Restricted/Excluded
_MIN 7. Pro•er/Ade.uate Handwashin:
8. Good H :ienic Practices (Eatint/Drinkint/Smokin:/Other)
Milli 9. A..roved Source/Labelin.
—MINI 10. Sound Condition
V— 11. Pro•er Handlin: of Read -To-Eat Foods
ther
—MIMI 12. Cross-contamination of CCP/P Plans/Time oass POublic Health Control)
MOM_— 13. A•.roved S stems (HACCP
4. Water Su••1 - A••roved Sources/Sufficient Ca.acit /Hot and Cold Under Pressure
OUT NA NO COS Facility and Equipment Requirements
3 Pts ___ __Violations Require Immediate Correction,Not To Exceed 10 Days Remarks _ --
— 15. E ui.ment Ade uate to Maintain Product Tem•erature
MIMI 16. Handwash Facilities Ades uate and Accessible
17. Handwash Facilities with Soa• and Towels
—M� 18. No Evidence of Insect Contamination
—MM.
M. 19. No Evidence of Rodents/Other Animals
_M 20. Toxic Items Pro•erl Labeled/Stored/Used
— � 21. Manual/Mechanical Warewashin: and Sanitizin: at % ••m/tem•erature
Mill—M_ 22. Mana:er Demonstration of Knowled.e/Certified Food Mana:er
IIIMMIIII 23. A..roved Sewa:e/Wastewater Dis.osaeS stem
Calibrated r Di decrees Fahrenheit), Pro
M24. Thermometers Provided/Accurate/Pro 25. Food Contact Surfaces of E•ui•ment and Utensils Cleaned/Sanitized/Good Re•air
M� 26. Postin: of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
�� 27. Food Establishment Permit
Violations-Require Corrective Action,Not to Exceed 90 Da s or the Next Ins•ection Whichever Comes First
Subtotal Other V l
........50 ,SAS to 5-/ A/ , 62- _
MEM
-- --- .�---- ,' `) ' ,, I 5 Print: hk,}6 w lip_`_
Inspected by: j,•—
To .1 �, Title: 1
F/U ` - Print: - , , .1, , i .,- , z _ .
Received by. r_. a ``, ,, as . ,
Yes/No ` i,. ,k' . ,. `�