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DALLAS COUNTY HEALTH AND HUMAN SERVICES
$ :0° !` rl > ENVIRONMENTAL HEALTH DIVISION
•
No 2377 N. STEMMONS FRWY. ROOM 607
1-E f ��" DALLAS, TEXAS 75207
7 214-819-2115 FAX 214-819-2868
ell/3 CITY/TOWN UN/VCs'
San Date Time In Time Out Establishment Number Permit Number Risk Category
Code
Purpose of Inspection: �y 1-Compliance 2-Routine 3-Field Investigation 4-Visit 5-Other
Establishment: /_l4 Z)<E% Owner: MA/IA�/�/�
Physical Address: 3110 b Zip: 752,05 Phone: (Q1 y)7 cog.- /14! C.F
OUT IN NA NO COS I 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)
✓ 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
v, 6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashing
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
9. Approved Source/Labeling
10. Sound Condition
✓ 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
,✓ 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
✓ 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 0 ~4
Total Inspected by: u 111) ' ' $a Print: 0411.14 5
F/U Received bfr f
Print: ( tC itle:
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