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Kappa Sigma
~~JriTY p~,O -~ DALLAS COUNTY HEALTH AND HUMAN SERVICES z ~ ~ ~N ENVIRONMENTAL HEALTH DIVISION ~ 2377 N. STEMMONS FRWY. ROOM 607 ~~~~rE oF ~E~'"~~ (214) 819-2115 Fvc: (214) 819-2868 CITY/TOWN ~ ~j~ ~ -+ Establishment: ~ ~ J~f~l~~ ~ ~jl~'F i Owner: ~~~ ~~sl ~ Physical Address: ~~ 2.; ~ ~ (~` ~.'v!~ Zip: ~~ ~ Phone: ~Jl~ ) ~° (~1 ~ C~ ~ ~1~ t~l'C~ ~t~~ ~ "" '~ ~ ~~'~'~ ~ *~°~°~~ ~ ' ~ ~ ~P~s` ` > ` ~ '. ; ~ ~ ~~~ ~,~~" s ~ ~ ` ~~~,~; ,~etT1$1Gks ', - , ~ .. , ~ ,. .. , _ . , ~ , ~. > . ,. , , . ~ 1. Proper Cooling for Cooked/Prepazed 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/Locationl Temperature ~5~.~~ ~~~- ~ ~`~`s~F /~~,~s i ~ ~ " ,~ ~~~~~~~~ :~.~ u~~ , ~~~~~~~~~~~. ,~~.;; ~~z~~~5 "~ ~'~ 6.~ Personnel with~ Infections Restricted/Excluded 7. Pro er/Ade uate Handwashin 8. Good Hygienic Practices (Eatin /Drinkin /Smokin /Other) 9. A proved 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/Tune as Public Health Control) 14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure O~ IN NA NO CQ5 Facil~tty,~nd,~q~ipmentR~i+eqi~r:~~~ : • e. Uie~at~c»s ~2eauire Imrnediafe.+Ga~s~an„~c~ T`o °E~eed'14 Davs 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 Cleaned/Sanitized/Good Re air 26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate) 27. Food Establishment Pernut C.~ ~-f ~'~~i~vim ~7~ Total Inspected by: ~ ~,J Print: ~~~ ~~f'~~-~ ,~ Yes/No Received by: ~,~,, Print:~"~ Titl~:i..~ _ ~'.