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DALLAS COUNTY HEALTH AND HUIVIAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
(214) 819-2115 Fax:(214)819-2868
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Establishment: ~// 1/~{~$ / % ~
Physical Address: 1'~'~
Item / Loc ati on / Temperature
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1. Proper Cooling for
2. Cold Hold (41 deg
3. Hot Hold (135 deg
4. Proper Cooking Te
5. Rapid Reheating ('.
Owner: ~V ~/L~' S/L`~/~
~7.;,,• ~571~~ Phone: ( )
~ked/Prepared Food
Fahrenheit/45 degrees Fat~renheit)
Fahrenheit)
ratures
ie~rees Fahrenheit in 2 Hrs)
Rernarks ~
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6. Personnel with Infections Restricted/Excluded I
7 Proper/Adequate Handwashing
S. Good Hygienic Practices (Eating /Dnnking / Smolcing / Other)
9. Approved Source/Labeling
10. Sound Condition
11. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
13. Approved Systems (HACCP Plans/Tiine as Public Health Control)
14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
~~c3~~ty: ~tnd Equipment Re~quirements ° :
<> ,,, ,w ____~~ T.....,,,,a;,,~o n,,,=,~Prr,nn " Nnt Tn F,xceed lfl Davs Remarks
'/ 15. E ui ment Ade uate to Maintain Product Temperature
~ 16. Handwash Facilities Ade uate and Accessible
17. Handwash Facilities with Soa and Towels
18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erl Labeled/Stored/Used
r/' 21. Manual/Mechanical Warewashin and Sanitizin at (. C)j m/tem erature
~,; 22. Mana er Demonstration of Knowled e/Certified Food ManaQer
23. A roved Sewage/Wastewater Dis osal S stem, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro erl Calibrated (f2 de rees Fahrenheit)
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25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re
26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate
~ ~: .~~.` 27. Food Establishment Permit
Inspected by:
Received bwfl~
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