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C,O , .4t,,,, DALLAS COUNTY HEALTH AND HUMAN SERVICES
i .. :,) > ENVIRONMENTAL HEALTH DIVISION
c'R ,4' 2377 N. STEMMONS FRWY. ROOM 607
�T're O F t���' DALLAS, TEXAS 752078 1��
@ n TPA--p `2--- ,2;,819-2115 FAX 214-819-2868 ' 0
!"tE 4 l CITY/TOWN 1J I
San Date Time In Time Out Establishment Number Permit Number Risk Category
Code
Purpose of Inspection: 1-Compliance -Routine 3-Field Investigation 4-Visit 5-Other
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Establishment: 8AN0/y'E-5. Owner: vi/ P[AZA j(,c�-s LLC,�
Physical Address: 6( /5 6,x,1,p jL /`�' Zip:15 2.05 Phone: (211') 15' 0--6,2 / C7
OUT IN NA NO COS Food Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
✓ 1. Proper Cooling for Cooked/Prepared Food
✓' 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
1/ 3. Hot Hold (135 degrees Fahrenheit)
4/, 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
4." 6. Personnel with Infections Restricted/Excluded
...,1 7. Proper/Adequate Handwashing
i 8. Good Hygienic Practices (Eatin rinking/S oking/Other)
✓' 9. Approved Source/Labeling
✓" 10. Sound Condition
a/ 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 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
,., 16. Handwash Facilities Adequate and Accessible
,..--- 17. Handwash Facilities with Soap and Towels
18. No Evidence of Insect Contamination
km 19. No Evidence of Rodents/Other Animals
r/ 20. Toxic Items Properly Labeled/Stored/Used
• 21. Manual/Mechanical Warewashing and Sanitizing at 500emperature
✓ 22. Manager Demonstration of Knowledge/Certified Food Manager
V' 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
V1 26. Posting of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
f 27. Food Establishment Permit
Subtotal Other Violations-Require Corrective Action,Not to Exceed 90 Days or the Next Inspection,Whichever Comes First
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Tot? uInspected by: r Tota • ,. ,:( �V Print: A L,
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Yes/No Received b•. 41)
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