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\j,,, �„„, A°.1,- DALLAS COUNTY HEALTH AND HUMAN SERVICES
c° �1 N ENVIRONMENTAL HEALTH DIVISION
• �_'d�`, W • 2377 N. STEMMONS FRWY. ROOM 607
�),/ oF—”, 4' DALLAS, TEXAS 75207
214-819-2115 FAX 214-819-2868
t.'Le �l CITY/TOWN 1.1417�f L"4617 ` -
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-Otth
er
Establishment: E 7711��i O S 0A 0/Z j r Owner: //3/ D C i J4USL C z er
Physical Address: 3 /0 d tip/ v GnSt/ /✓�Yd
Zip: 752-05 Phone: e3 3,2 '7Z1
OUT IN NA NO COS Food Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
AZ 1. Proper Cooling for Cooked/Prepared Food
':/ 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
V' 3. Hot Hold (135 degrees Fahrenheit)
1/ 4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
Item/Location/Temperature
/9
D K. / 0/33.11E,
OUT IN NA NO COS Personnel/Handling/Source Requirements
4 Pts Violations Require Immediate Corrective Action Remarks
6. Personnel with Infections Restricted/Excluded
7. Proper/Adequate Handwashing
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
:/' 9. Approved Source/Labeling
t./' 10. Sound Condition
11. Proper Handling of Ready-To-Eat Foods
1/' 12. Cross-contamination of Raw/Cooked Foods/Other
13. Approved Systems (HACCP Plans/Time as Public Health Control)
V 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
✓' 16. Handwash Facilities Adequate and Accessible
s. 17. Handwash Facilities with Soap and Towels
18. No Evidence of Insect Contamination
I/ 19. No Evidence of Rodents/Other Animals
/ 4/- 20. Toxic Item Labeled/Stored/Used
21. Manua echanical arewashing and Sanitizing at (2pm/temperature
v° 22. Manage onstration of Knowledge/Certified Food Manager
V 23. Approved Sewage/Wastewater Disposal System, Proper Disposal
f 24. Thermometers Provided/Accurate/Properly Calibrated (±2 degrees Fahrenheit) .
1.. 25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
4., 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
Opt
3pt
Inspected by: I1 %'f2l '% Print: !2J1 .j )Tot I
F/U ■
Yes/No Received by:✓ �f 9 � 'il^--ems Print:�.�Ii 1 fr'/C 546,✓f'/"1 c `/ Title: u 4 t