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DALLAS COUNTY HEALTH AND HUMAN SERVICES
F {. ENVIRONMENTAL HEALTH DIVISION
' 2377 N. STEMMONS FRWY. ROOM 607
.�T9Te ��� "' �, �. DALLAS, TEXAS 75207
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CITY/TOWN` a
San Date ' Time I a Time Out Establishment Number Permit - Number Risk Category`
Code
_-�- --
1. Proper Cooling for Cooked/Prepared Food
p. 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/Temperature
5pt
4t
3t
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Inspected :' Print: vlh7
Total p Y
F/U
Received by: _ / l rr
. Title:
✓
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashin
8. Good Hygienic Practices (Eating/Drinkin /Smoking /Other)
(,✓
9. Approved Source/Labeling
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 Su 1 - Approved Sources /Sufficient Capacity/Hot and Cold Under Pressure
3 .Pts' _
'
NA
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_
Facility: and Ecuipirient Requirexriets
Violations Rd quire Immediate "Cgrrecon, NL. Exceed 10,;Da
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15.E ui ment Adequate to Maintain Product Temperature
16. Handwash Facilities Adequate and Accessible
17. Handwash Facilities with Soap and Towels
18. No Evidence of Insect Contamination
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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. Manager Demonstration of Knowledge/Certified Food Manager
23. Approved Sewage/Wastewater Disposal System, Proper Disposal
24. Thermometers Provided/Accurate/Properly Calibrated ( ±2 degrees Fahrenheit
25. Food Contact Surfaces of Equipment and Utensils Cleaned /Sanitized/Good Repair
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26. Posting of Consumer Advisories ( Heimilich /Diselosure/ReininderBuffer Plate)
27. Food Establishment Permit
Subtotal
Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection;_ Whichever. Comes First
5pt
4t
3t
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Inspected :' Print: vlh7
Total p Y
F/U
Received by: _ / l rr
. Title: