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DALLAS COUNTY HEALTH AND HUMAN SERVICES
F ~ ~ ; ENVIRONMENTAL HEALTH DNISION
2377 N. STEMMONS FRWY. ROOM 607
~`~T.rr~ oF ,~~,~-"~ (214) 819-2115 Fax: (214) 819-2868
CTI'Y/TOWN UNhI~~Ir7~ ~J ~
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'~ ~ Owner: ,~'~~ -~'~~"
Establishment: ,
Physical Address: ~'E'a ~ ~ t.i-i~l,S~- ZiP• ~Zl~ Phone: ~/ -'~~
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item / Loc ation / Temperature
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' 6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good Hygienic Practices Eating/Drinking/Smoking/Other)
9. Approved Sourc eling
~/' 10. Sound Condition
/' ll. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
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13. Approved Systems (HACCP PlanslTime as Pu
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14. Water Supply - Approved Sources/Sufficient
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Viola~i~ins.~ uire Immediate_ C~rr~tion,:1*1ot.To Exceed ~0 Days Remarks
,~/" 15. Equi ment Ade uate to Maintain Product Tem erature
1/' 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
2L Manual/Mechanical Warewastun and Sanitizin at m em erature
~/ 22. Mana er Demonstration of Knowled e/Certified Food Mana er
~ 23. A roved SewagelWastewater Dis osa] S stem, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro erly Calibrated (t2 degrees Fahrenheit)
i/ 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/SanitizedlGood Re air
26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate)
27. Food Establishment Pernut
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F/U Received by~ r II ~ l' 1( ~t"L ~n~ ~~1CllV ~L(1 6~( z, , Title~5"j~~, ~~