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.( (5)to••f �,y^°� DALLAS COUNTY HEALTH AND HUMAN SERVICES
_ 44 k`��`rj > ENVIRONMENTAL HEALTH DIVISION
F �����,1��' • 2377 N. STEMMONS FRWY. ROOM 607
,T�TE OF' DALLAS, TEXAS 75207
214-819-2115 FAX 214-819-2868
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Code Date Time In s Time Out Establishment Number = Permit Number _ Risk Category
Purpose of Inspection: 1-Compliance outine 3-Field Investigation, 4-Visit 5-Other
Establishment: O f 43 A/ f Ake E1'f o4r,5 Owner: SUS g,ii O
Physical Address: a 33 SKI I E Qj1 A Zip: 75205 Phone: (Ei ) ,34/ 6
OUT IN NA NO COS Food Temperature/Time Requirements
5 Pts Violations Require Immediate Corrective Action Remarks
1. Proper Cooling for Cooked/Prepared Food -
t 2. Cold Hold(41 degrees Fahrenheit/45 degrees Fahrenheit)
✓ 3. Hot Hold (135 degrees Fahrenheit)
4. Proper Cooking Temperatures
P. 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
r./— 6. Personnel with Infections Restricted/Excluded
i 7. Proper/Adequate Handwashing
t/'- 8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
1/ 9. Approved Source/Labeling
✓ 10. Sound Condition
�✓ 11. Proper Handling of Ready-To-Eat Foods
ti— 12. Cross-contamination of Raw/Cooked Foods/Other
V' 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
te` 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
1.,-, 19. No Evidence of Rodents/Other Animals
L'' 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
°r _ 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
,,,,,z43 Inspected by: - A, Print: t)p i
1
Yes/No Received by:,_ T . Print:5 ZL`� Titl Y2a M --,