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DALLAS COUNTY HEALTH AND HUMAN SERVICES
�. {* ENVIRONMENTAL HEALTH DIVISION
y 2377 N. STEMMONS FRWY. ROOM 607
OF �x" DALLAS, TEXAS 75207
214 - 819 -2115 FAX 214 -819 -2868
CITY/TOWN L a'rRCll yo i
San Date Time In.. - Time Out Establishment Number Permit Number Risk. Category
Code
Purpose of Inspection: 1- Compliance -Routi 3 -Field Investigation ' .4 -Visit 5- 0ther
Establishment: MA A1 LA" S r Owner:
Physical Address: 3 9 00 L� d'�'.,, Zip: Phone: (2* 76 3- f56
OUT IN NA NO COS ood Temperature/Time Requirements
S Pts Violations Require Immediate Corrective Action .,. Remarks
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold 41 degrees Fahrenheit/45 de rees Fahrenheit)
�,✓ 3. Hot Hold (135 degrees Fahrenheit
4. Proper Cooking Temperatures
5. Rapid Reheating 165 degrees Fahrenheit in 2 Hrs
Item/Location/Temperature
OUT IN NA I NO COS PersonneUliandling/Source Requirements `
4 Pts Violations Require,Iihmediate ;Corrective Action Remarks "
t•° 6. Personnel with Infections Restricted/Excluded
7. Pro er /Ade uate Handwashin
8. Good Hygienic Practices (Eatin /Drinkin /Smoldn /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 IN NA NO COS Facility and Equipment Requirements
3 Pts Violations Re urre Immediate Correction, Not 10 Exceed 10 Days,r , Remarks
15. Equipment Ade uate to Maintain Product Temperature
16. Handwash Facilities Adequate and Accessible
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 perature
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/ReminderBuffer 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
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Total Inspected by: Print: o
YYes/No Received by� ���� Print: � � f ¢ � Title: � .