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Chi Omega
GOJpiTY p~,O -~ DALLAS COUNTY HEALTH AND HUMAN SERVICES x ~ ~ `< r ~ ENVIRONMENTAL HEALTH DIVISION 2377 N. STEMMONS FRWY. ROOM 607 +~T"Tf oF ~s~~P~ (214) 819-2115 Fax: (214) 819-2868 l} ~~T'~~ iTOwiv ~N~"~~ `7~ ~ J`~'~~ ~ Establishment: G. /Y f ~J~ ~ (,~,c` ~ ~ ~' Owner. ~L~F.~ fC /~C~iJ~; L=~ Physical Address: ~(1 / ~ ~~~ ~ Zip: ~~ ~~ Phone: ( ~ ~' ~~r~ ~r'~/ (~~ Ct~~', ~1 ~~ "1~~ ~~*, ~~+'#~~~~+~p~~1~C'~€/~~~~~G ~~ ~ ~~~~`~ € , . ~ Y; ~e. a.., „ „ ~ ~~l~~ni~ ~~ ~ ~~~ate~~~~~;, ~-~~ ~'~ Re~1~~ . ~ ~ , _. - . ,~ e ~ P_ ~. . ~ ~ ,., ~. 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 `" r" Yi~la~i~~s ~~~t~ii'e Itnrilediate Corre~ive';~,~iciit'> Aemarks ''"' 6. Personnel with Infections Restricted/Excluded 7. Pro er/Ade uate Handwashin 8. Good Hygienic Practices (Eatin /Drinkin /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) 1.~ 14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure otrr ~ rt~ ~vo cos ~a~cilility and Eqwipment Requiresn~~ts :'; 3 prs Vio~a~iflns Requare ~mmediate Correcti~n~; Nvt Tci ;~x~ecd ;10 Days Remarks ~ 15. E ui ment Ade uate to Maintain Product Tem erature ' 16. Handwash Facilities Ade uate and Accessible 17. Handwash Facilities with Soa and Towels 18. No Evidence of Insect Contamination 19. No Evidence of Rodents/Other Animals 20. Toxic Items Pro erl Labeled/Stored/Used 21. Manual/Mechanical Warewashin and Sanitizin at ( ) m/tem erature 22. Mana er Demonstration of Knowled e/Certified Food Mana er 23. A roved Sewa e/Wastewater Dis osal System, Pro er Dis osal 24. Thermometers Provided/Accurate/Pro erl Calibrated (t2 de rees Fahrenheit) ' ` 25. Food Contact Surfaces of E ui ment and Utensils Cieaned/Sanitized/Good Re air 26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate) 27. Food Establishment Permit Z,o~l Inspected by: , ~ (, ~ Print: ~~fc~J ~`°~Z/IL~--~''~~ Yes/No Received by: ,~~6 '~~- Print: Title: