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DALLAS COUNTY HEALTH AND HUMAN SERVICES
~ ~
x ~ ~ ~ ENVIRONMENTAL HEALTH DIVISION
~ ` 2377 N. STEMMONS FRWY. ROOM 607
~~~~rF o F.~e~-"~ s 6 (214) ~ 819-2115 Fax: (214) 819-28b8
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Establishment~l C'S1„E'~ ~c~J/fl(~j~ ~~~` Owner: ~/~w~ ~~~
Physical Address: ~'S ~~ L.~1~~i~4~ ~ Zip~52 `~ ~ Phone: (~d'~) 4~6 0~ ~+`~
/ 1. Proper Cooling for Cooked/Prepared Food
2. Coid Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
i/` 3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item / Loc ation / Temperature
y"'~ ~~~i- !~s'n
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/' 6. Personnel with Infections Restricted/Excluded
t~ 7. Pro er/Ade uate Handwashin
/' 8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
s/' ' 9. Approved Source/Labeling
if 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
ouc ~t rtA ~o cos Facr~ity and Equip~nenx Requirem~n#s
s rts Yin~ations.~2equire Immediate Cor~ectiot~,;Nat Ta: ~xceed 10 Days Remarks
' 15. E ui ment Ade uate to Maintain Product Tem erature
/' 16. Handwash Faciliries 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
/~ 21. Manual/Mechanical Warewashin and Sanitizin at (. /tem erature
22. Mana er Demonstration of Knowled e/Certified Food Manager
23. A roved Sewage/Wastewater Dis osal S stem, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro erl Calibrated (t2 de rees Fahrenheit)
25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air
t/~ 26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
27. Food Establishment Permit
Tota~ Inspected by: ~ Print: ~~j~,~, ~~
v~U N~ Received by: ~, \ ~t/~,, Title: