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DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
(214) 819-2115 Fax:(214) 819-2868
53
Establishment:
Physical Address
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Item / Loc ation / ~mperature
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Zip: ~ 5~ 5 Phone: ( 2, )
1. Proper Cooling for Cooked/Prepared Food w~JE
2. Cold Hold (41 degees Fahrenheit/45 degrees Fahrenheit)
3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
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'~ 6. Personnel with Infections Restricted/Excluded ~~~~~5
7. Pro er/Ade uate Handwashin
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~ 8. Good Hygienic Practices (Eating/Drinking/Smokin /Other)
v 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/Time as Public Health Control)
14. Water Supply Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
OUT IN~ k~tA ~ i~O '~ COS ~~'gCl'lit tiIId ~
3 prs ~' Ya qu~pment Refjnirements '
~iolati~ns Require Immediate Correction, Not To Exceed 1p Days Remarks
~ 15. E ui ment Adequate to Maintain Product Tem erature
16. Handwash Facilities Ade uate and Accessible
17. Handwash Facilities with Soap and Towels
~ 18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erl Labeled/Stored/Used
21. Manual/Mechanical Warewashing and Sanitizin at ~
tem erature
22. Mana er Demonstration of Kn
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ow
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e/Certified Fo d Mana er
23. A roved Sewa e/Wastewater Dis osal System, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro erl Calibrated (t2 de rees Fahrenheit)
25. Food Contact Surfaces of E ui m
t
en
and Utensils Cleaned/Sanitized/Good Repair
26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffe
Pl
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ate)
27. Food Establishment Permit
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St uir~ Cc~t~,~+~,~~tir~n;°,~Tot-,to~Exceed 90 I~a s or'~e~~T~~:t
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xii ectic~n, Whic~teyer ~ames First -
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3t
Total Inspected by:
Print:
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F/U
Received by: /~%" ~ •'~,
Yes/No ...:f a ,
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