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Sigma Phi Epsilon
GO~p1TY p~,O . 7 DALLAS COUNTY HEALTH AND HUMAN SERVICES ~' ~ ~ ~y ENVIRONMENTAL HEALTH DIVISION ~ 2377 N. STEMMONS FRWY. ROOM 607 ~~~"rE oF ~~~'~~~ (214) 819-2115 Fax: (214) 819-2868 I ~ ~~ I I CITY/TOWN~~~~'~~' / ~ ` ~ ~ ~ I Establishment: ~/' C~~~'stll / !1~% ~ ~~`~.~j Owner: ~ t_.c:..~~°~ Physical Address: ~(.~'J~~ ~~ ~ ~ ~ ~i~ Zip: ~~~ (~ ~ Phone: ( ~ ~ ~~ ~ °' ~~ ~ ~ 1. Proper Cooling for Cooked/Prepared Food 2. Cold Hoid (41 degrees Fahrenheit/45 degrees Fahrenheit) / 3. Hot Hold (135 degrees Fahrenheit) / 4. Proper Cooking Temperatures S. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs) Item/Location/Temperature . jA[~~, rr~ ~~7` /~v ~ %~ ~/~IS[;~f~ f ''~£,~~'~^ i r ~ u ~y~J I ~~ _f~ / ~t~` ~~t ,N~ N~ ~C~~ .~',~rsc~t~'~~tt~~~-~/5~ruarce.Reqtu~re~+en~. ~I~rs°' ~`io1~~~s"~,~, ii~`ire:~me~iate +~oi~e~t~~!e,A~~~n ° ' Retr~arks; / ~:`~'~~ , ~~' '~~ ~~ 6. ~Personnel with Infections Restricted/Excluded 7. Pro er/Ade uate Handwashin 8. Good Hy ienic Practices (Eatin /Drinking/Smoking/Other) 9. Approved Source/Labeling 10. Sound Condition 1 l. 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) 14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure t~trr ~v ~rA t~o c45 ~ac~y~and`°Eg~~ment R~quirements , ' ~~S ~~fl~~tit~t~s;R~qt~re Iinmediate Conectic~n, Nat I"o Exceed'10 Days Remarks ~ 15. E ui ment Ade uate to Maintain Produc m erature 16. Handwash Facilities Ade uate an c sible ` / 17. Handwash Facilities with Soa an owels V . ~ ~'~~ ° ~ ~ ~ ~ ~ 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/ ~ m erature 22. Mana er Demonstration of Knowled e/Certified Food Ma' er 23. A roved Sewa e/Wastewater Dis osal S stem, Pro er Dis osal 24. Thermometers Provided/Accurate/Pro erl Calibrated (f2 degrees Fahrenheit) 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air 26. Postin of Consumer Advisories (Heirnilich/Disclosure/Reminder/Buffer Plate) ~.. . . 27. Food Establishment Perxnit Tot 1 ~spected by: / ~~ ~ ~ ~ Print: ~~~ ~ ~ L,,~,,,~ ~ F/U Received b ` Print: Yes/No y: , `° ~,~ ~i Title!~-~ C~i~~