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c° • „,0 DALLAS COUNTY HEALTH AND HUMAN SERVICES
i`°-A,:�;)�> ENVIRONMENTAL HEALTH DIVISION
%�J. �L 2377 N. STEMMONS FRWY. ROOM 607
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'TE of�E+ rtommi 1,"7-113 DALLAS, TEXAS 75207
214-819-2H5 FAX 214-819-2868 6p,��II�
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7-10-13 3 CITY/TO WN aktiyi.C7Z6H7 A7Z-fr
San Date Time In Time Out • . • • ent Number Permit Number Risk Category
_
Code
Purpose of Inspection: 1-Compliance 2-Routine 3-Field Investigation 4-Visit 5-Other
Establishment: Ve72.g r• ," Owner: / '4Jc. e LO
Physical Address: 3 6 Zz) '7 /,. //,. Zip: 75 L)6 Phone: 046 '9413 - a
OUT IN NA NO COS Food Tent rature/Time Requirements
5 Pts Violation equire Immediate Corrective Action Remarks
"^ 1. Proper Cooling for Cooked/Prepared Food
e/ 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
V. 3. Hot Hold (135 degrees Fahrenheit)
0,- 4. Proper Cooking Temperatures
'V 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
A^ 6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashing
1 8. Good H :ienic Practices ating/Drinking/Smoking/Other)
9. Approved Source ab= 'ng)
1/ 10. Sound Condition
V11. Proper Handling of Ready-To-Eat Foods
ti, ✓ 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
V-' 15. Equipment Adequate to Maintain Product Temperature
A"/' 16. Handwash Facilities Adequate and Accessible
P 17. Handwash Facilities with Soap and Towels
>P 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 (575pm/temperature
22. Manager Demonstration of Knowledge/Certified Food Manager
r/2 23. Approved Sewage/Wastewater Disposal System, Proper Disposal
24. Thermometers Provided/Accurate/Properly Calibrated (±2 degrees Fahrenheit)
1/` 25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
� 26. Posting of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate)
r/ 27. Food Establishment Permit
Subtotal Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First
5pt / / !✓ifzt- — C'1C-7)", q-zi St
4pt
3pt!!
f4 fihTotal Inspected by: 4,. 0 e,f Print: i..4 ra.-
F/U
Yes/No Received by Print: Title: