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DALLAS COUNTY HEALTH AND HUMAN SERVICES
~ ~ ~ 1y ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
•~T9T f ~ F~E~Py (214) 819-2115 Fax: (214) 819-2868
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CITY / TOWN LlIV ~'1I ~ ~`~ I~~~ ""
Establishment: ~~~ ~_. Owner: ~@~,'T 4Tfi,~~~
Physical Address: ,~~ ''~" 1 ~ R~ Zip: ~ Z~~ Phone: ( Z.1~L.~ ~-~'~~'7 Q
/ 1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
3. Hot Hoid (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
a/' S. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item/ Location / Temperature
~ ~ ~~~~~ ~ r~s~
1/' 6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
w/' 8. Good Hy ienic Practices (Eatin /Drinking/Smoking/Other)
~ ' 9. Approved Source/Labeling
V' 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
o P u~r rtA rta cos F~~lit~ and Equipme~t Requir~~~ts ~.- -~ :
Vio~aiic~ns ~~quire~Immediate ~a~ec~ion,'~fiTpC ~'Q~~Exceed lfl Days Remarks~
~^ 15. Equi ment Ade uate to Maintain Product Tem erature
16." Handwash Facilities Ade uate and Accessible
17. Handwash Facilities with Soa and Towels
e/' 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 Sanitizing at ( i/temperature
,/ 22. Mana er Demonstration of Knowiedge/Certified Food Manager
23. A roved Sewage/Wastewater Dis osal System, 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
26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate)
27. Food Establishment Pernut
~ Inspected by: Print:
Tota1 ~
F/U Received by. ~ Pri~/^ ~ Ti~
Yes/No