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DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
(214) 819-2ll5 Fax: (214) 819-2868
5 / ~ 2-
Establishment: s~ (a/~~l?~ C...H~'-
Physical Address: ~ ~ ~. ~ ~,.~"
crTY iTOwiv L~~!'!v~
S~ Owner: ~~. L.
Zip:~ 2~ 5
1. Proper Cooling for
2. Cold Hold (41 deg
3. Hot Hold (135 deg
4. Proper Cooking Te
5. Rapid Reheating (]
Item / Loc ation / Temperature
gC.t,s t3$°~
OUT I IN ~ NA
3 Pts
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Phone: (.~1~'e,) ~~` ~S~s
~ked/Prepared Food
Fahrenheit/45 degrees Fahrenheit)
Fahrenheit)
ratures
leerees Fahrenheit in 2 Hrs)
6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good Hygienic Practices (Eatin /Drinkin /Smoking/
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 H
14. Water Supply - Approved Sources/Sufficient Capaci
~lth Control)
/Hot and Cold Under Pressure
) DaVS Remarks
15. E ui ment Ade uate to Maintain Product Tem erature
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 erly Labeled/Stored/Used
21. Manual/Mechanical Warewashin and Sanitizing at ( m temperature
22. Mana er Demonstration of Knowled e/Certified Food Mana er
23. A roved Sewage/Wastewater Dis osal System, Pro er Dis osal
24. Thermometers Provided/Accurafe/Pro erly Calibrated (t2 degrees Fahrenheit)
` 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re
" 26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate
27. Food Establishment Pernut
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3 Inspected by: ~ ~ Print:
Total
F/U Received by:~n ti~~y~ Print: /l~-
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