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�o „ o DALLAS COUNTY HEALTH AND HUMAN SERVICES
Z ' N > ENVIRONMENTAL HEALTH DIVISION
• �dJ,� � • 2377 N. STEMMONS FRWY. ROOM 607
�T�rF OF"�E��' DALLAS, TEXAS 75207
214-819-2115 FAX 214-819-2868
CITY/TOWN LotoftiIS ?s1 hi Ail
San Date Time In Time Out Establishment Number Permit Number Risk Category
Code �
Purpose of Inspection: 1-Compliance =Routi ) 3-Field Investigation 4-Visit 5-Other 1
Establishment: j)-71-72, e..ir 6z 7'7 / Owner: ��4 Liih p p/ (G�
Physical Address: 3(9 , /40C i /kl ,#3/4/) tit/ Zip: �I�5 Phone: (2/y) (a qi 2 g l'
OUT IN NA NO COS Food Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
1. Proper Cooling for Cooked/Prepared Food
of 2. Cold Hold (41 degrees Fahrenheit/45 degrees Fahrenheit)
3. Hot Hold (135 degrees Fahrenheit)
4/ 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
s/ 6. Personnel with Infections Restricted/Excluded
t/' 7. Proper/Adequate Handwashing
(l 8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
j/' 9. Approved Source/Labeling
i/ 10. Sound Condition
L.."' 11. Proper Handling of Ready-To-Eat Foods
1V-- 12. Cross-contamination of Raw/Cooked Foods/Other
)/ 13. Approved Systems (HACCP Plans/Time as Public Health Control)
i/ 14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
OUT IN NA NO COS Facility and Equipment Requirements
3 Pts 1/' Violations Require Immediate Correction,Not To Exceed 10 Days Remarks
15. Equipment Adequate t ' ain Product Temperature
16. Handwash Facilitie dequat and Accessible
+.— 17. Handwash Facilitie oap and Towels
�'' 18. No Evidence of Insect Contamination
I.,' 19. No Evidence of Rodents/Other Animals
b/ 20. Toxic Items Properly Labeled/Stored/Used
1/ 21. Manual/Mechanical Warewashing and Sanitizing at (/Lppm/temperature
` rf 22. Manager Demonstration of Knowledge/Certified Food Manager
�J 23. Approved Sewage/Wastewater Disposal System, Proper Disposal
v 24. Thermometers Provided/Accurate/Properly Calibrated (±2 degrees Fahrenheit)
1.-.1 25. Food Contact Surfaces of Equipment and Utensils Cleaned/Sanitized/Good Repair
t,. 26. Posting of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
t,,0 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
6 �; `� (�
Total Inspected by:l l L' • ) S Print: ?l�' r�?Lit I-9
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