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-~ DALLAS COUNTY HEALTH AND HUMAN SERVICES
~ ~ ~ `N ENVIRONMENTAL HEALTH DIVISION
` 2377 N. STEMMONS FRWY. ROOM 607
r~T"Te oF ~~~"P~ (214) 819-2115 FaJC: (214) 819-2868
.
~".a~ CITY/TOWN /J'~~'~~f~y ~l ~
Establishment: ~ `S ~h~ti`~.~ ' • j~~ ': ner: ~'3 ~`~~ /`'liT..~jf yP~1,~,L,
Physical Address: ~~j ~.Cyv ~J~ Zip: ~~~ 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
ff~- ~s ~ ~~°~
~u~• ,u~ ~~ ~~ cos ~'~~e~l~an~1lingfSar~ar~~e~~~ta~rem+enuts ,
4~s '~a~~a~qiis-~2.eqi~i~e`Immediate Cvrre~~it~~.~ctit~n ~2emarks
6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good H ienic Practices (Eating/Drinkin /Smoking/Other)
1~ 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
ov~r n~r r~A rro cas FaG~lx~,and Equipment°Requirenn~nts '. ,
3 nts Viii~~~iis=Require ~mmediate Co~'ecCia~, Not To~xceed~ 10 Days Remarks'~ ~~~
~/ 15. E ui ment Ade uate to Maintain Product Tem erature
16. Handwash Facilities Ade uate and essible '
1/ 17. Handwash Facilities with Soa and To -
18. No Evidence of Insect Contamination
E/ 19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erly Labeled/Stored/Used
~/ 2L Manual/Mechanical Warewashin and Sanitizing at ( /tei erature
22. Mana er Demonstration of Knowledge/Certified Food Manager
23. A roved Sewa e/Wastewater Dis osal System, Pro er Dis osal
1/' 24. Thermometers Provided/Accurate/Pro erl Calibrated (t2 degrees Fahrenheit)
25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air
26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
s__ 27. Food Establishment Permit
4 t ~ 1.~~ ~7` ~~l~
3 t •~ ~~ ~,.~~ ~ l t S
~- _
o al Inspected by: Lt ~y -~
F/U Received by: { rint: Title:
Yes/No