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3 a DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
T,T f o f DALLAS, TEXAS 75207
214-819-2115 FAX 214-819-2868
CITY/TOWN L ii V 6725177
San Date Time In Time Out Establishment Number ]Permit Number Risk Category
Code
Purpose of Inspection: 1-Compliance 2-Routine 3-Field Investigation 4-Visit 5-Other
Establishment: .5/7.70 /1JA-1 / 5
Owner:: AAA' 't1 /—�
Physical Address: 49C) )y E f 5 r iO� Zip: 7
6245 Phone: (.2/10 75 e----z/
&1
OUT IN NA NO COS Food Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
t./' 1. Proper Cooling for Cooked/Prepared Food
V 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
.A/' 3. Hot Hold (135 degrees Fahrenheit)
c.� 4. Proper Cooking Temperatures
'e✓ 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
V 7. Proper/Adequate Handwashing
8. Good Hygienic Practices (Eating nki oking/Other)
L." 9. Approved Source/Labeling
✓ 10. Sound Condition
:✓ 11. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
4.0°' 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
Li4 18. No Evidence of Insect Contamination
l/' 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)
25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
11, 26. Posting of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer 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
apt
Tota
Inspected by: NW AI S Print: \4.J 1 ' S
F/U Received by: , Print: Title:
Yes/No ram