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' ^o` DALLAS COUNTY HEALTH AND HUMAN SERVICES
4 c4 i�n >, ENVIRONMENTAL HEALTH DIVISION
.±. / 7 N. STEMMONS FRWY. ROOM 607
s €^x.. 15
T'rf of +" � DALLAS, TEXAS 75207
14-819-2115 FAX 214-819-2868
8 f/ g CITY/TOWN Li
i(/ACil'S/ ,aA San Date Time In Time Out Establishment Number Permit Number Risk Category
Code
Purpose of Inspection: 1-Compliance ines field Investigation 4-Visit 5-Other
Establishment: //-k.TEL_ L L//y� Own • ftizL L�1'17rh/
Physical Address: 6/0/ li7U r' 4V"r Zip: 75205 Phone: (2/V)A1ci GJti/
OUT IN NA NO COS Food Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
°.... I. Proper Cooling for Cooked/Prepared Food
to 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
t 6. Personnel with Infections Restricted/Excluded
I, 7. Proper/Adequate Handwashing
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
V 9. Approved Source/Labeling
10. Sound Condition
1 11. Proper Handling of Ready-To-Eat Foods
V 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
4/ 15. Equipment Adequate to Maintain Product Temperature
�' 16. Handwash Facilities Adequate and Accessible
V' 17. Handwash Facilities with Soap and Towels
V 18. No Evidence of Insect Contamination
V 19. No Evidence of Rodents/Other Animals
!/1 20. Toxic Items Properly Labeled/Stored/Used a
V 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
I✓ 24. Thermometers Provided/Accurate/Properly Calibrated (±2 degrees Fahrenheit)
✓+ 25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
V" 26. Posting of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate)
✓ 27. Food Establishment Permit
Subtotal Other Violations - Require Corrective Action, Not to Exceed 90 Days or the Next Inspection, Whichever Comes First
5pt
4pt
3pt .
4
Total Inspected by: u i, All Print: r „„.3„.., 04,„,,f6.
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F� Received by:N' \ / Print:11 v (!u Title: -
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