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Phi Delta Theta
GOJ~ITY p~,Q -~ DALLAS COUNTY HEALTH AND HUMAN SERVICES x ~ ~ `N ENVIRONMENTAL HEALTH DIVISION ~ 2377 N. STEMMONS FRWY. ROOM 607 ~~~"re oF ~t~~'~~~ (214) 819-2115 Fax: (214) 819-2868 $~a.~- ,TO~ ~~~~ Establishment: ~/~~~ ~~t_„ j"~ -~,,l~ Owner: ~~ p L„ ~~~~ Z-~ ~~ ~rt Physical Address: ~7~ ~,. ~_ ~r ~„-w+,~ Zip: ~~ ~l~ Phone: ~ /~ ) ~° ~,~ ~'~ /' 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. Raaid Reheatine (165 deerees Fahrenheit in 2 Hrsl ~ Item/Location/Temperature `~ 6. Personnel with Infections Restricted/Excluded 7. Pro er/Ade uate Handwashin 8. Good H ienic Practices (Eating/Drinking/Smoking/Other) 9. Approved 5ource/Labeling ~ ` ~ ~ ~ ~~ 10. Sound Condirion '~ 11. Proper Handling of Ready-To-Eat Foods 12. Cross-contamination of Raw/Cooked Foods/Otl~er 13. Approved Systems (HACCP Plans/Time as Public Health Control) ' 14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure otrr IN rta No Cos :F~cil~~: ~ii; ~qtYipment I~teywir~ments „;, s Pts 'Vic5la~ie~n"s ~tet~uire Tmrnediate Cnrrectican, .Not ~'o E~eeecl ;10 Davs Rernarks ~°` 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 . ~' te erature 22. Mana er Demonstration of Knowled e/Certified Food Mana 23. A roved Sewa e/Wastewater Dis osal S stem, Pro er Dis osal 24. Thermometers Provided/Accurate/Pro erly Calibrated (t2 de rees Fahrenheit) 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air 6~ 26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate) 5ut~cot~ (~e r ~a~1~ L~nins - ~ ut 27. Food Establishment Permit ;r~ ~ , ~irr~~,~s ~~~~ ' at~ter:E~c~tl ~fI'~~ ~r°~~e„~~~t ~~s ectic~n,'S~hic~ever ~c~mes First ; s t i ~ ~ 5 ~~S ~ ~iU ~{~/~ 4t . ~ Inspected by: ~ Print ~ ~~ ~,~~ , Yes/No Received by: ~ ~ Print. ~ Tit~r'