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~Q~r1TY p~,O ~ DALLAS COUNTY HEALTH AND HUMAN SERVICES x~~ y ENVIRONMENTAL HEALTH DIVISION ~ " 2377 N. STEMMONS FRWY. ROOM 607 Y~T"rF oF ~c~~'Py (214) 819-2ll5 Fax: (214) 819-2868 ~ ~~ CITY/TOWN L./A[ii/17taSb7t, ~~~i/"~ ~ Establishment: ~,L'~,~..~~ ~'-l 'j' ~ ~~,~~.~~ Owner: ~~~/,~~ ~ `'~~,/~~ ~ Physical Address: ~ Q~~'} ~/~ f~~~ Zip: '~~ ~ Phone: ( ~% ~ ) ~ f ~ ~ ~ ~~ ' ` ~ ~ ~ a~z~~ ~ (?L3T ~~~*1 l~t~l I~J ~ ~ tfi~ '~ ~" ~~ ~ ~ ~ ° ~ ~ ~ ~ S P"t~ fi ~ ~ r~ ~ ~, .» ~r~~~~~~ ~r~~*,~ I ~.~LLT~.C~5; , e ~. ~. . .... .. .. ., ,, ., . 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. Ranid Reheatine (l65 deerees Fahrenheit in 2 Hrs) Item / Location / Temperature r ' '. 6. Personnel with Infections Restricted/Excluded ~ 7. Pro er/Ade uate Handwashin ~" 8. Good H ienic Practices (Eatin /Drinkin /Smoking/Other) f 9. Approved Source/Labeling f 10. Sound Condition 11. 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 Suovlv - Aunroved Sources/Sufficient Cavacitv/Hot and Cold Under Pressure ~marks ' 15. E ui ment Ade uate to Maintain Product Tem erature +~-~ 16. Handwash Facilities Ade uate and A ' 17. Handwash Facilities with Soa and owels 18. No Evidence of Insect Contamination 19. No Evidence of Rodents/Other Animals 20. Toxic Items Pro erl Labeled/Stored/Used ~ 21. Manual/Mechanical Warewashin and Sanitizin at ( ) m/tem erature 22. Mana er Demonstration of Knowled e/Certified Food Mana er 23. A roved Sewa e/Wastewater Dis osal S stem, Pro er Dis osal ` F ~' 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 26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate 27. Food Establishment Pernut e ~ ~ F~ ~ ~ut~wca~, ~~~~~iir~~iriir~5;-"R .~~ ,~'F~ }~ ~A. _ ~~#`~ ~~t::~~ ~ctic~n, Wfi~che~~rC{ 5t ~ . ~ ~ ~ 4 t ~' ~'~~ ~.!`Sih7Gdh.6 ~~,{ !t/ ~, ~~/ ~i(,o° G ~ ~i l~° ll.~ ~^`l~~ "~~~~i'~ ~~~ .S~rJ °~ ~ ~ ~ 3 t ~ ~ ~r~ ~r~~77~ ~ ~~~~~ /'~ ~~ Inspected by: t Print: ,~j :-~ j` Total ~ ,~ (~ ~ F/U Received by: ~~ ~ ~ 1° ,~~, ^ Print~ ~ ~~~L L! /e.~ Yes /Nn