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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
CITY/TOWN ~h~S~ ~~~ ~~ , ~
Establishment: ~,/~(~(.~,5 C(~ ~ Owner: ~j,~~,A ~V/Q~~S
Physical Address:r"~'p Z~ ~LJ(~V.6~~• Zip:7 2-~ Phone: (~f' ) 3~ -' ~d~`
l. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degr~
3. Hot Hold (135 degrees Fahrenheit)
Item / Loc ation / Temperature
4.
5.
Temperatures
165
Fahrenheit in 2
t~~~s~-~el/Hand~iwg/~ource Re~uire~n~nts : ; '
~xola#~c-~s`.Re uire ~nmediate Ccarreative,~~ct~ri Remarks
E, Personnel with Infections Restricted/Excluded
7 Proper/Adequate Handwashing
8. Good Hygienic Practices (Eating/Drinking/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
~acility and Eguipment. Requirements
tr;.,i~+;h„~ u~~,,,rP TmrnPrliate (':nrrecti~n. Not To EXCeed 10 Days Remarks
l5 Equipment Adequate ro Maintain Product Temperature
16 Handwash Facilities Adequate 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 erly Labeled/Stored/Used
21. Manual/Mechanical Warewashin and Sanitizin at m/t m erature
22. Mana er Demonstration of Knowled e/Certified Food er
23 Approved Sewage/Wastewater Disposal System Proper Disposal
24. Thermometers Provided/Accurate/Properly Calibrated (t2 degrees Fahrenheit)
25 Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Re~
26 Posting of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate
27. Food Establishment Permit
Inspected by: K Print: ~~C~l
F/U Received by: __~ Print•
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