HomeMy WebLinkAboutPHI DELTA THETA 2018.09.24c H s E IH I h D'..,Dallas ollnty tcalt 1 and IIman erYIees-nE~ca t IVlslon
~Retail Food Establishment fnsp l tion Re rt.-
2J77:\,STE""O\SFR\\Y..R"6117,f).\I.I.AS.[:\75207 21~-RI9-2115 F X:21~-81~-2S6S
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Dat~C1 Z 41P7fl1 V ;111lh:l)ut _j Ll(\.'lbt.:r~rlllit .":'/n\~/\\[£Y1'1>~!R 1:-."C ,lh:glll")1 ra~e --ol·.L_
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PtJrpo~c oj III~pectioll:1 I I-Compliallcc I I 2-l{outinc I J-Fil'ld hl"l'sti!!atinll I I ~-\,isit I SoOther TOTA.IdS(;;'OI{E
Esta~;:tl\)p,tiN 1(1\l}.tt:i I Cllillact 0\\ncr \all1~:
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*\lIrt1hu of Repeaf \iulalifJlI':__(l~'../"umher or \iolatioll\cos:--
PhYSi~;iW~~f...-(l):K\~d{Ttnl)u r~l~l ~1~~I Phone:I Follm\-lIp:\c>
:\u (cirdl'olle)
Compliance ~I"tll"Out ~not in ""l11l'lian«1:'1'~in compkll:~'not ob>cncd r\..\~nlll,lpplicJble COS =correcled on site R z repc:lI 'i"latl~
Mark the anoroon"le noil11>IIIthe Ol'T 00'for each l1ul11bereditem Mark'a checkmark Inappropriate box for 1\,"'0,:>IA.COS Mark nn nSl~ri"k •*.10 uonrooriak box f('If R
Priority Items (3 Points)lIiolatitlllX Require Immediate Correeth'e Actio"lIottO exceed 3 days
Comoli:mce Stutu •.•Cnmnliam:l'Stalu~
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II;
'I r Time and Temp"ratllre for Food Safety II 0 I ;\,('RtN0I."I/o ()Employee Healtb
T ~(I'=degrees Fahrenheit)T 'j S
Ic/j/l/I.Pnlpcr cooll11g time ~lIld temperature I 12.:VlaJ1:lgcmcllt.fond cmplo)C'cs and COlldltlOll.d cmployct!s;
kllo\\klh!c.rcspl)ll~ibdltles.and rcpnrtllH!
Iv I/v ,Prop,'r (,,,Id H"lding telllperJture(-11 'I'-15-1'1 1/1 13.Prop!.!!"U~L'of rc~trictinll and exc[u:::lOn:\"0 dischdrge li'om-.
.I I ,eve".l1o.;:;e.alld Illoulh
7V .'.Proper !-Inl Huldln~temperaturet 135'1'1 I PI'l'vcnting Contamination b,'H:II1,I>
./1/-1.Proner c(l(.)klI1!.!lime and tcm~1L'ratllre /,1-1.Hanet,cleaned and propcrh \\a,hed,GiLlIos used properly
./5.Proper rehc.1!ing procedure for hl)!holdlllg f 165 'F 1112 I ,1 15.0.0 bare hand contact \I ith ready to eat food>or appro,cdylIourS),dlel'l1ate tllctlllld pr(lperiv follcl\\ed (·\PPROVED Y
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,~(,Tllne ,!,a Public He"lth COlltrn!:nroeedure,8:record>1 Hi!!hh Suste(ltibl('POIJulations
Apprrn ed SOli ree I VI 16.P.I;t~uriL~d IllOUSused:prohibited fLlodlIot olTercd
.I'PJ:-tcuri/cd e!.!~,used \\hen required
i/-FO\ld ~IIHjlC~llhUllled ti:om .lppro\ed 'iOLlrc(':Food in
VI/"glint!(fJIlCIJUl)ll.,):1(c .•1Ild lIll.H.lultt.:ratcd:pnra;;lte Chemicals
d(,~lructl{lIl /
V X Fotld RL'cei\cod.lt pn1!)t!r tcmperclturc I {17.Food addtli,es;appro"ed and properl)stored:\bshlllg Fruits,.
8:V~!!etahle;
,I Protection from Contamination ,/IX.To\ic >uh,tallces properh'identilied.,lOred and used
/V l/9.Food Sq1arJted &protected.pre\ented during l(lod Waterl Plu Illbing
rm:l)arJtioll.~tor:H!C.disJ)'a~..:mdla~ting J
t,.V l/In.FtMI contn~'d'lt,.'~~Retunt'tlolmtlAl I /19.Water from apprO\ed source:Plumolng installed:proper
S"ntlt/ed Jt,'ppm 'Illpera I;back llo\\'(k\ic~
"VI II.Proper d"po,lIion ~turtled.pre'tously sen cd or /lO.Appro'ed Sewage WaSle\\ater Disposal System,proper
reconditioned di,p,,,al
Prioritv Foundation Itrms (2 Points)violatiolls Rl'(lIire Correctiw'Actioll ••.ithill 10 days
()I :-;'"('R 0 I I ''"C R
l'N 0 A ()O(.'ltlUnstratiolJ of Kno\\Icdl;r/Pcrsonnd l'"0 \0 Food Tcmperature Con troll Identification
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11.Pl.:r~oll III ch~lrg:c pre')cl1L dclllOI1~lra[IOIl of "-no\\leJg:.:.D.Proper cooling method used:EquiplllCIlI Adequate 10
and (}crfonn dutie,Certilied Fond \.1.tn.l!!er (CF\I)I ~·Iaintatn Product Temperature
,/"Food I!.mdlt'r no ullJurlwri/cu p.:r<;OI1S'pcr'-ll1tlllel 1//eX.Pn)(lcr Date :'v1,trkinQand dispo,ition__.
P'Safe Water.Recnl'dkceping and Fond Package X~~:!<).Thenntlilleter,pro,ided,accurate.and caliorJted:Ch~mical
Lahelin!!Therm.11 I~~t ...trips
...(""Hot and Cold \\,tier a'ailahlc:adequate prc»ure,,ale /Pcrmi!Req"''i'mnt,Prer quisite for Operation.I _J.vr :!-1.Required reeord,a,ailahlc I,hel btock tags:p.tra,ite /j 1 I }I).Food EstabliSh~/t P ,3+(~{}~ltd)Idc,truction J:Packn~ed Ftlod laholetl
/Conformance with Appnn cd Proct'dures L.;tclIsils,Equipmt'll •~ld \'e~ing-,rl~25.Compliance \Iith Variancc,SpecialtLcd Proce;>.and
I I 31.Adequate han('"ashlng t'acilitie,:,-\cee,siolc and properlyH,\CCP pl"n:Variance obtained fi,r speciali/ed supplied.u;edprncc')"in:!ll1elht)d~:malltll~lctllrcr in::-trllctinn,I
Consumer Ad"iso.y·;"3::,Food and \;oll-f('od Contact ~lIrfact:;;;ckanab,c.propc.:rly
/I de"lgned.cflnstructed.and used
vYl 26,Po\ting ()fConsumer Ad\i~0ries:r~1\\or und.:r couked
~I I 33.\\dn!\\3shing Facilitie~:Illstalled,1ll3IHI.lillCd.ll~cdl
ti'(1(1;(DtScll),"re Relllmd~r BuCkt PI.lIel,-\Ikr~~n Label !Sl.!n h.:e '-lInk l'r cllrb ckanilH!racill1~pn..l\Itled
Core Items (I Point)Violatiolls Require Corrective Action /\'0;IIIExceed 90 Dars or Next InsfJectioll .J~7Iic"el'er Comes First
f)I ~:-;C Il ()I N '"C Rl'N °V ()Pre"cntion of Food Contamination r '"0 .\°Food Identification
T S T ./st/~3-1.\;0 E\Idellce of Insect COlltlll11113tlOll.rn<.ientlothl.!r .I 41.()rigtnal cont,tiner labeltng (Bul~Food)V animals
/V...35.Per~l)l1dl Clc,lIllinc')s.eatilll.!.drillkilH!('r tohacco lbC ./Phvsical Facilitics/V ,.1(,.\~t11111~('Ioths:properl,u,ed .tnd storeJ /'1.1 I -12.'\oll-h)od Comad surfaces cl('an.././r EIl\IfOllmelltall.:'ont3lllin';!lion ;-;/43.\dl.!ulwtt:\cntdatioll ;:lIld ll!.!htllh!:clesl:.!llatcd <lr(',l'-l ll~ed
~I/3q A ppr<n eel Illa\\Ill!.!1l1CtlHld I "1/44.(j"rha~e and Refu,e properly di'l1o,ed:facllilte,lllallltallled
/Proper l'~e of Lten,il~''I J -15.Ph"ical l:lct1i1te,lIl'talled.tll.tllltamed .•tnd clean
11/V 39 LIc.:tl~lIs,eqUlpmcllt.&liner,...:pruper!:lhed.I;;(1)red.I/:I -1i>Toilet Faedlllc-,.properly cOI1:-,trllcted.,"pplied.and clean
dned,&h.mJ led In u>e u!Clblk nrnperl'u.,ed
.I -HI.Slllgl.:~,cn lel.'&slIl_qlc-lI-,c .lrtlclc'-l:pr(lIK'rI:v ...,t(1red I 1 I -1'Other \tOI.,tl(lI1>Iand)l'ed I I
Recehed b\':.~~fU'i I Print7/'m dA",~)1t"f I Title:Per;on In Charge!Qnner
,.---l"'l~n:lturel /'Vyyr.rr I
[nspect~~~Vyqll~J f"~1-tf~},f ,01 Prilll:J I RII~jlll''''Email:
I"'iL'J1~ltur\.'I
Form EH-06 ReVised (9-2015)-
Dallas County Health and Human Services -Epv1Tonmental Health Division
.R '1 F d E bl"h t I ~R)teta,00 sta IS men ,eetlOn "or
2."I77:'i.STE.\I.\IO.'S FR\\Y.,R:\I 607,DALLAS,TX 752(l.Z_214-819-211:FA.\::214-819-2868
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~.I;~it ~aU(I~'Ik r~lYSIC3Ib1--2 S~{(f~~1vette ()n I ~,~~;11V~11t;pyt!--kpageGf~
'"TEMPERA TlIRE OBSERVA nONS r.J
Item/Location Temp 1tem/Location Temp Item/Location ~Temp
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OBSERVATIO.\S A'\O CORRECTIVE ACTlO:"lS
Item AN fNSPECTIOl\'OF YOL:R EST.-\BLlSH:VfE;\T H S BEE;\:-"fADE.YOUR ATTE~TfO;\IS DIRECTED TO THE CONDITIONS OBSERVED ANDNumberNOTEDBELOW:
/\-I ,,-'Lot (--J I?A---(},I(}vl)'VLP TIl'l SlJ 11)(,,S'1)1)()S nv W:l (\,Tf1--C.v-VUfi)(h
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.~'"~~~-)\J i~Q....H Oi (~n J(t11 r1 L",)VIt ,/A\yLP Y'(_tV(£/(~l-I\I I
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~V)rf)~ri,t.\vV ~(CVVt (?'J ,pTYh_Q-~
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i')j Y1 V\\/l (\1)I I ()(}fJ;t \J ('1-__.I"
,/h -~:t((YVI rYL.lf'(~1 f;Xl n(l ~dl on (ti1~V tD CtDif/(j r lr:~eJ'-r I 'f ,
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Receind bv:dj/l/,~f //Print:r ,I ry1 ath'1/1 i::.Jy,s Title:Person In Charge/Owner
(sifmalUre)-"~._//,1\.0 ~r //~'/
Inspected by:~rv:l.1 ;<;.-::\_~'t-11tJ1_,-UJ(sil!na{Ure)Sample,:Y ;"\i ~collected
vFormEH·06 (Revised 09·2015)