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DALLAS COUNTY HEALTH AND HUMAN SERVICES
{y ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
DALLAS, TEXAS 75207
214- 819 -2115 FAX 214- 819 -2868
CITY/TOWN L &f
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit /45 degrees Fahrenheit)
c.•- 3. Hot Hold (135 degrees Fahrenheit)
✓ ' " 4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item/Location/Temperature
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashin
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other).
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9. Approved Source/Labeling
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10. Sound Condition
11. Proper Handling of Read To -Eat Foods
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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
OUT : _:
3 Pts
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NA
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y, t Regiiwemen s
,Uaolatio a Re quImmediate.Correction, Not =To Exceed IL 0Da s, ., Remarks
15. Equipment Ade uate to Maintain Product Temperature
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16. Handwash Facilities Adequate and Accessible
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17. Handwash Facilities with Soap and Towels
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
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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
26. Posting of Consumer Advisories ( Heimilich /Disclosure/RemiriderBuffer Plate)
27, Food Establishment Permit
Subtotal
Other. Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes F
5pt
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Total
Inspected by: /
Print:
F/U
Yes/No
Received by:
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