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DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
(214) 819-2115 Fax:(214) 819-2868
CITY
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Establishment:~'`~j~'~` j~/~ ~,,, ~~,~~ Owner: Jy,,~~„~, ~ j~~y~ ~,
Physical Address: ~~~~ +~ ~,.f.~~ Zip: ~~~,~~ Phone: ( ~~j~ ,~ '-~~~~ ~i
~ 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
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`Vzt~~txc~ns.'°R~q~tire Iturnettiate ~cirrecti~ve Ac~t~ Rernar~s
6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good Hygienic Practices (Eatin /Drinkin /Smoking/Other)
9. Approved Source/Labeling
10. Sound Condition
~ ll. 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
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3 Prs uv NA rro cos ~a~~ity-antl ~q~ipment ~eguirements ,
Yio~atioz~s ~ uire;irnmetliate Coi~i~ection,':Not'T'A°~~~ceed' 1Q Days Rernarks~
~ 15. E ui ment Ade uate to Maintain Product Tem erature
16. Handwash Facilities Ade uate and Accessible
17. Handwash Facilities with Soa and Toweis
18. No Evidence of Insect Contamination ~/T ~
/ 19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erl Labeled/Stored/Used
21. Manual/Mechanical Warewashin and Sanitizin at ' m/ em erature
Orj 22. Mana er Demonstration of Knowled e/Certified Food ana er
d/' 23. A roved Sewa e/Wastewater Dis osal S stem, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro eri Calibrated (t2 de rees Falu~enheit)
25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air
26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
27. Food Establishment Pemut
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To~ Inspected by: ~~ Print: ~~ ~~ ~~ ~
F/U Received by: ..~- ,'.--„ Print• Title:
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