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DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DNISION
2377 N. STEMMONS FRWY. ROOM 607
(214) 819-2115 Fax: (214) 819-2868
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Establishment ~.~1~~~5 "' ~T~ F{ Owner: I~~JAe-~ ~'Zg~v~ir=~
Physical Address: '"~ ~j~~ ~~$ f~RJ~ Zip: ~~ Z(~~ Phone: ~~`'~') 5 G.13 "~~'~
1. Proper Cooling far Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
3. Hot Hold (135 degrees Fahrenheit)
f 4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item / Loc ation / Temperature
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4~ mr r~~ rro cos ~."ers~s~~~1~~Taro~~llimg/5ource <Re~u~~en~s
Va'a$a~q~~.Requiiie Irz~iediate ~prrecti~~' Ac~[c~n; '~ ''' R~marks
6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good Hy ienic Practices (Eatin /Drinkin /Smoking/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/Time as Public Health Control)
14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
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3 Pts ~T NA No C~S FaCilt~y '~ ~+ Qu~tp~nent Retjriireril~tlkfS . ~ ~
yivlatwus ~Require~ Tmmediate Cort'ectiQn,:No~'~'o~E~,eeed 1(3 Days Ramarks'
15. E uipment Ade uate to Maintain Product Tem erature
16. Handwash Facilities Ade uate and Accessible
/' 17. Handwash Facilities with Soa and Towels
rJ' 18. No Evidence of Insect Contamination
~ 19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erl Labeled/Stored/Used
~- 21. ManuaUMechanical Warewashin and Sanitizin at ( m temperature
~ 22. Mana er Demonstration of Knowled e/Certified Food Mana er
;/ ' ° ` 23. A roved Sewa e/Wastewater Dis osal System, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro erl Calibrated (f2 de rees Fahrenheit)
- `' 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air
~/` 26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate)
~ 27. Food Establishment Pernut
~ Inspected by: Print: ~-~
Total -
F/U Received b Print: ~ ~ `Title: ~~ ~
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