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DALLAS COUNTY HEALTH AND HUMAN SERVICES
�. ly ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
�TgTf OF 1p DALLAS, TEXAS 75207
214 -819 -2115 FAX 214- 819 -2868
1
CITY/TOWN
San
Code
Date
Time In
Time Out
- hmerit Number
Permit Number
Risk Category
Purpose of Inspection: 1- Compliance.. 2- Routine 3 -Field Investigation 4-Visit 5 -Other
Establishment: P117 IBS ✓
Owner: :51-b
Physical Address: C Z
Zip: 75W,5
Phone: ,�2/ �') r
OUT:'
5 Pts,.
IN
NA
NO `
. COS
Food tI' 4perature/Tiine Requirements
Violations RequYte Immediate Corrective Action Remarks
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit /45 de ees Fahrenheit
°off
3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs
Item/Location/Temperature % f
L% 51- lac i
_7 / z
_NA
NO
COS
Personnel/Handling/Source Requirements
Violations Require Immediate - Corrective Action Remarks ' '
6. Personnel with Infections Restricted/Excluded
_
7. Proper/Adequate Handwashing
_
8. Good Hygienic Practices (Eatin /Drinkin /Smokin /Other)
9. Approved Source/Labeling
10. Sound Condition
11. Proper Handling of Read 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
3 Pts
IN
NA
NO
COS
Facility, and Equip mepit Req�p[irements
Violations Re 'wire humediate Correction, Not To Exceed 10 Days. Remarks
15. Equipment Ade uate to Maintain Product T .qWerature
16. Handwash Facilities Adequate an c sib
17. Handwash Facilities with Soap and I wels
18. No Evidence of Insect Contamination
19. No Evidence of Rodents /Other Animals
20. Toxic Items Properly Labeled/Stored/Used
21.. Manual/Mechanical Warewashing and Sanitizing at m/tem erature
22. Managex. Demoastration of Knowledge/Certified Food Manager
23. rov ewag astewater Disposal System, Proper Disposal
24. Thermo Provided/Accurate/Pro erl Calibrated ( ±2 degrees Fahrenheit)
25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
26. Posting of Consumer Advisories ( Heimilich /Disclosure/ReminderBuffer Plate)
27. Food Establishment Permit
Subtotal
Other Violations - Re uire Corrective Action, Not to Exceed .90. Days or the Next Inspection Whichever Comes First
5pt
:1
Inspected by: Print: -1
4t
3t
Tot
1.
0
Received by: r
Print: {
Title: