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DALLAS COUNTY HEALTH AND HUMAN SERVICES
F �, �y ENVIRONMENTAL HEALTH DIVISION
!� 2377 N. STEMMONS FRWY. ROOM 607
DALLAS, TEXAS 75207
.�TgTf °F ���P� 214 -819 -2115 FAX 214 -819 -2868
I� CITY/TOWN Z //.t j qE& 5 /'`zv /04 A
Establishment: Je d Owner: � / Z. /,3/7, AV 0, j n
Physical Address: / 0 / Ai4 iE -L ; z <� . Zip: 7 5'Z 05- Phone: (2-14 A ,
1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
il-I 3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item/Location/Temperature
Total Inspected by: V ` Print: , U-4 lo�
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F/U ° Print: Title:
Yes/No Received by: S P Ki P mq- wll ft'-i O k )
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashin
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8. Good Hygienic Practices (Satin /Drinking /Smoking /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
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�Facility.�and.lEquipment Requiremeints
Viol "ations Re urre.lnirnediate.'. Coirecton, Not To Exceed ,1,0 Days; . . Remarks,
15. Equipment Ade uate to Maintain Product Temperature
16. Handwash Facilities Adequate and Accessible
17. Handwash Facilities with Soap and Towels
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18. No Evidence of Insect Contamination
19. No Evidence of Rodents /Other Animals
20. Toxic Items Properly Labeled /Stored/Used
.,
21. Manual/Mechanical Warewashin 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
26. Posting of Consumer Advisories ( Heimilich /Disclosure/ReminderBuffer Plate)
27. Food Establishment Permit
Subtotal
1. Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First
Total Inspected by: V ` Print: , U-4 lo�
� r
F/U ° Print: Title:
Yes/No Received by: S P Ki P mq- wll ft'-i O k )