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C' a tir DALLAS COUNTY HEALTH AND HUMAN SERVICES
.` JS 4,`4) > ENVIRONMENTAL HEALTH DIVISION
r cc■ " d - 2377 N. STEMMONS FRWY. ROOM 607
rrf OF•C'cl DALLAS, TEXAS 75207
214-819-2115 FAX 214-819-2868
1 i'-.2).1--!�, CITY/TOWN "�V/4;s-=7Zs i, Ai r _
San Date Time In Time Out 'shment Number Permit Number Risk Category
Code
Purpose of Inspection: 1-Compliance -Routine 3-Field Investigation 4-Visit 5-Other
Establishment: 'j 72p --A'j :7 /�•
Physical Address: te, (� vivl 'if- / Zip: 76205 Phone: (.2Jt/) 76,8'236"1-
OUT IN NA NO COS Fop-6 Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
4. - 1. Proper Cooling for Cooked/Prepared Food
✓, 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
OUT IN NA NO COS Personnel/Handling/Source Requirements
4 Pts Violations Require Immediate Corrective Action Remarks
,,i 6. Personnel with Infections Restricted/Excluded
✓ 7. Proper/Adequate Handwashing
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
9. Approved Source/Labeling
V 10. Sound Condition
11. Proper Handling of Ready-To-Eat Foods
✓• ` 12. Cross-contamination of Raw/Cooked Foods/Other
V 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 Require Immediate Correction,Not To Exceed 10 Days Remarks
15. Equipment Adequate to Maintain Product Temperature
,i^ 16. Handwash Facilities Adequate and Accessible
„/' 17. Handwash Facilities with Soap and Towels
ie- 18. No Evidence of Insect Contamination
V 19. No Evidence of Rodents/Other Animals
20. Toxic Items Properly Labeled/Stored/Used
•• 21. Manual/Mechanical Warewashing and Sanitizing at ( )ppm/temperature
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)
s/ 25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
✓' 26. Posting of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
e/- 27. Food Establishment Permit
Subtotal Other Violations-Require Corrective Action,Not to Exceed 90 Days or the Next Inspection,Whichever Comes First
5pt
Opt
3pt
--» Print: gjoi t_r..•Total Inspected by: kG . . , A•� J�
F/U Yes/No Received by: �' J � ., C " Tint: 13 r!2 _,.�. clzt,j/? Title: ('