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DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENViRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
f-- .~ 214) 819-2115 Fax:(214) 819-2868
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I CITY/TOWN L,INS~~~/~~ .
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Establishment: ~~j•~'N-i'~L~ ~~~G~~S,,~ Owner: ~/~L.~~~,e.,~ ^~j~ l"`~~{~~~
Physical Address: Zip: ~ Phone: (~/~f ) ~~ `- ~ ~~"~
t/ 1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
3. Hot Hold (135 degrees Fahrenheit) Zi.~°~
°~ 4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item / Location / Temperature
/ 6. Personnel with Infections Restricted/Excluded
~' 7. Pro er/Ade uate Handwashin
~''" 8. Good Hy ienic Practices (Eatin /Drinkin /Smokin /Other)
t.6`' 9. Approved Source/Labeling
10. Sound Condition
~,.~ 11. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
' v~ 13. Approved Systems (HACCP Plans/Time as Public Health Control)
' _= 14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
c~UT Ilv rra, rtCi Cos Faefll~tty:~cl Equipment Re~uirer~u~nts ..
3 p~ ~icila~i+~ns Re uare Trnmediate Cortection, Nc~t.To Exceed 10 I~ays Remarks
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15. E ui ment Ade uate to Maintain Product Tem erature
~ 16. Handwash Facilities Ade uate and Accessible
~ 17. Handwash Facilities with Soa and Towels
/ 18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
L 20. Toxic Items Pro erl Labeled/Stored/Used
21. Manual/Mechanical Warewashin and Sanitizing at ( )p in/tem erature
22. Mana er Demonstration of Knowled e/Certified Food Mana er
'~ '~ '~ 23. A roved Sewage/Wastewater Dis osal S stem, Pro er Disposal
24. Thermometers Provided/Accurate/Pro eri Calibrated (~2 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)
1/' 27. Food Establishment Permit
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'Fetal Inspected by: ~% ~ % ~ /<~ Print:~~C1;,~' ~~LL f ~S
F/U Received b~ y~ Pri t~-~'
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