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~O~p1TY pFO 9 DALLAS COUNTY HEALTH AND HUMAN SERVICES ~ ~ ~ 9 ENVIRONMENTAL HEALTH DIVISION ` 2377 N. STEMMONS FRWY. ROOM 607 ~~~''rE oF ~sE~'~~ (214) 819-2115 Fax: (214) 819-2868 I I ~~ ~~ CITY/TOWN ~d~r~ ~`( ~~ 1 Establishment: (~ ~~~~~ /`"f~ Owner: (~, `~~~~ ~ Physical Address: ~p ~ ~ ~ ~jy ( o~ ~~~ Zip: ~ ~~~ Phone: ( ~ ~ a (~p"" ~ ~ ~~ t3[1~~ ~t~T °Nt~ ~TO GOS ~~,p~ ~`~1~%p~~~t,u~~/TiTr~ ~ec~~i~~~i~tS : ~ ~ V~~a~C~c~riss~~q~`~ ~a~u~edla~te Ca~~~~~e .~~~i ~Remark`s L Proper Cooling for Cooked/Prepared Food 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit) 3. Hot Hold (135 degrees Fahrenheit) 1/' 4. Proper Cooking Temperatures 5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs) ~ Item/Location/Temperature ou•r 4 Pts ~v tv~ r~o cos Persa~ellHandling/Source- Require~nents: ."; Vial~kians Require ~nmediate Ccarrecti~e Actiola, Remarks 6. Personnel with Infections Restricted/Excluded 7. Pro er/Ade uate Handwashin ro/' 8. Good Hygienic Practices (Eating/Drinking/Smoking/Other) {/~ 9. Approved Source/Labeling (/ 10. Sound Condition ~./~ 1 l. 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 oU'r 3 Pts IN NA No Cos ~a~~lity aupd Equipment Requirements ` Violatians Requii•e;Immediate Correction,.N~t `To Exceed 10 Days Rernarlcs ~ 15. E uipment Adequate to Maintain Product Tem erature ~./ 16. Handwash Facilities Adequate and Accessible 17. Handwash Facilities with Soap and Towels 18. No Evidence of Insect Contamination 19. No Evidence of Rodentsl0ther Animals 20. Toxic Items Pro erly Labeled/Stored/Used 21. Manual/Mechanical Warewashing and Sanitizin at (' pp te~n erature 22. Mana er Demonstration of Knowled e/Certified Food anager 23. A roved Sewa e/Wastewater Dis osal System, Pro er Disposal 24. Thermometers Provided/Accurate/Pro erly Calibrated (t2 degrees Fahrenheit) 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Repair ` 26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate) . __ _ _ 27. Food Establishment Pernut Tota`1 Inspected by: F/U Received bvy s Print: ~ Print: