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~ DALLAS COUNTY HEALTH AND HUMAN SERVICES
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F N ENVIRONMENTAL HEALTH DNISION
2377 N. STEMMONS FRWY. ROOM 607
~~~'rE oF ~~'~~~ (214) 819-2115 Fax: (214) 819-2868
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~ 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/Location/Tem erature ~.
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~ `"~ ~: ~' 6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
/ . '~~ ~ = ,' 8. Goo ' 'c Prac ' , ' g/Drinkin /Smoking/Other)
~ ';~/ 9. proved Source beling
10. S ition
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
ouT z1v 1vA No co~ F~eility and Equipme~t Require~~nts '
~ Prs Vicalatians=Req,uixe'Immediate Cozz~e~tion, Not T'o Exeeed' 1Q Days Remarks
15. E ui ment Ade uate to Maintain Product Tem erature
t/ 16. Handwash Facilities Ade uate and Accessible
17. Handwash Facilities with Soap and Towels
a/ 18. No Evidence of Insect Contamination
'v'" ' 19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erl Labeled/Stored/Used
f~ 21. Manual/Mechanical Warewashing and Sanitizin at ( ) m/tem erature
/ 22. Mana er Demonstration of Knowled e/Certified Food Manager
23. A roved Sewage/Wastewater Dis osal System, Pro er Disposal
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/Reminder/Buffer Plate)
~ 27. Food Establishment Pernut
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Total Inspected by: ) ~ Print: ~~ ~ ~,~Ll~- .~
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Yes/No Received by: ,~, ' a~ ' ~ Print: Title:
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