Inspector: STEPHEN COLLINS
Risk-Based Violations
Kitchen: Employee used single-use gloves to unclean dishes and then work with exposed
foods. Person in charge used single-use gloves to handle register and then work with exposed foods. COS:
Reviewed glove usage with person in charge and observed correct usage during visit.
x
Print Date: 9/6/2024
Page 3 of 7
13
P
Citation Description: Different types of raw animal foods not separated from each other during storage,
preparation, holding or display by using separate equipment, arranging food in equipment so that cross
contamination is prevented, or preparing each type of food at different times or in separate areas.
3-302.11(A)(2) P
Observation: Kitchen: Packages of raw chicken and raw fish stored in pan in reach-in cooler. COS: Items
were voluntarily discarded due to another citation.
x
Kitchen: In-store rice cooked and started cooling process prior to 1:30pm, probed with
accurate thermometer at 3:45pm with internal temperature of 98 degree F. COS: Rice was voluntarily
discarded during visit.
x
All employees are not trained in reporting responsibility of employee health. Industry
documents provided during visit.
Employee is unable to answer questions on employee health. Industry documents provided
during visit.
x
Kitchen: Raw shell eggs with ambient temperature of 64 degree F within reach-in cooler.
COS: Eggs were voluntarily discarded during visit.
x
Kitchen: In-store cooked meats, stock, chicken, sliced cheese, sour cream, raw chicken, raw
fish, raw hamburger, and sliced tomato probed with accurate thermometer with internal temperature of
44-48 degree F at 2:20pm when placed in reach-in cooler by 10:00am as stated by person in charge. COS:
All items were voluntarily discarded during visit.
x
Kitchen: In-store cooked meat, stock, and open container of sour cream not dated when
made or open day prior. COS: All items were voluntarily discarded during visit for another citation.
x
Written procedures for cleaning up vomit and diarrhea events not provided during visit.
Industry documents provided during visit.
Kitchen: Bottle of shampoo stored with and directly ready-to-eat items by hand wash sink.
COS: Shampoo moved to approved location during visit.
x
Kitchen: Open employee beverage stored inside reach-in cooler with exposed retail foods.
COS: Bottle was removed during visit.
Kitchen: Employee not washing hands with soap and for under 20 seconds before donning
new pair of gloves. COS: Reviewed hand washing procedures with management and employee correctly
washed hands during visit.
x
Kitchen: Employee handled ready-to-eat hamburger bun with bare hands. COS: Item was
voluntarily discarded during visit.
x
Register Area: Unable to verify source for hemp extract products intended for inhalation for
pre rolls. See Supplements.
Register Area: Unable to verify source for hemp extract products intended for ingestion
including gummies and tinctures. See Supplements.
Register Area: Age restriction signage for hemp extract products intended for inhalation not
present.
Register Area: Hemp extract products including gummies and pre rolls found without serving
size identified on product packaging. See supplements.
o
Print Date: 9/6/2024
Page 1 of 7
75
Citation Description: Hemp extract intended for human consumption distributed or sold in the state
without being in a container that includes: a. A scannable barcode or quick response code linked to the
certificate of analysis of the hemp extract batch by an independent testing laboratory; b. The batch number;
c. The internet address of a website where batch information may be obtained; d. The expiration date; and
e. The number of milligrams of each marketed cannabinoid per serving. s. 581.217(7)(a)(2) F.S.
Observation: Register Area: Hemp extract products including vape cartridges, pre rolls, gummies, and
food products found without either a scannable barcode/quick response code, a batch number, an
expiration date, an internet address, and/or the number of milligrams of each marketed cannabinoid on
product packaging. See supplement.
o
Register Area: Hemp extract products including vape cartridges and pre rolls found without
the statement "Not Intended For Ingestion - Do Not Eat" on product packaging. See supplements.
o
Register Area: Hemp Extract products observed to be Attractive to Children - product and/or
labels in the shape of an animal, human, or cartoon; or bears any resemblance to an existing candy
product. See supplement.
o
Register Area: Hemp extract products including vape cartridges and gummies do not have a
corresponding certificate of analysis by an independent testing laboratory. See supplements.
Kitchen: Multi-use towel used to dry hands after hand washing by employee. COS: Reviewed
and employee used paper towels to dry hands after re-washing during visit.
Kitchen: Hand wash sink used to dispose of chemicals. Retail: Hand wash sink used to
dispose of milk. COS: Reviewed hand wash sink purpose, was cleaned and sanitized during visit.
Kitchen: Soap and paper towels not provided at hand wash sink. Retail: Paper towels not
provided at hand wash sink. COS: Soap and paper towels were provided at the hand wash sinks in kitchen
and retail during visit. Backroom: Soap and paper towels not provided at restroom hand wash sink.
Retail: Nutty Buddy and Oatmeal Creme pies not labeled for individual sale by register. COS:
Items were moved to behind counter during visit.
Food Protection Manager Certificate not provided during visit.
Good Retail Practice Violations
Probe thermometer not provided during start of inspection. COS: Small tipped probe
thermometer provided prior to end of inspection.
Kitchen: Cut cabbage in bin stored directly on floor. COS: Cabbage moved into walk-in
cooler during visit.
Kitchen: Person in charge wearing bracelet while working with exposed foods.
Kitchen: Person in charge not wearing effective hair restraint when working with exposed
foods.
Kitchen: Reach-in cooler with ambient temperature of 67 degrees F and unable to hold TCS
(Temperature for Controlled Safety) food items in approved temperatures. Stop-Use order issued. Gasket
on reach-in cooler is in disrepair.
Backroom: Raw wood used as shelving within walk-in cooler. Retail: Stained cardboard used
as shelving for chips.
Kitchen: Non-food contact surface storage bin used to hold cut cabbage. COS: Food moved
to proper food container during visit.
x
Kitchen: Chlorine test strips not provided during visit.
Retail: Buildup of debris on interior of cabinets under coffee station and in front of kitchen
window.
Retail: Mop not handing in method to properly air dry by door to cashier area.
Retail: Gaskets in disrepair for display doors of walk-in cooler.
Person in charge and employee were told by inspector that no more food processing was
allowed due to no probe thermometer and temperature violations. Employee continued to cooked, inspector
told person in charge again they were not able to cook anything and the kitchen was closed multiple times.
Employee discontinued cooking and the person in charge continued to cook the food order for customer
prior to releasing Stop-Sale order issued.
o
Entity is open and operating since July 31, 2024 without valid food permit. Entity did not Meet
Sanitation Inspection Requirements.
o
A Supplemental Report was also issued during the visit which includes important information for management.
Stop-Sale Orders & Supplemental Actions
STOP SALE ORDER
Reason: FS
581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 1 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 2 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 3 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 4 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 5 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.10 Adulterated.* Approved Source
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 6 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 7 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 8 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 9 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Distribution and Retail Sale
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 10 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 11 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 12 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 13 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 14 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 15 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 16 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 17 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 18 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 19 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 20 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 21 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 22 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 23 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 24 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
STOP SALE ORDER AND RELEASE
Reason: FS 500.04; FS 500.10 Adulterated.* Preventing Contamination By Hands: No bare hand contact with ready-to-eat
foods or approved alternative method properly followed.
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
Disposition: Product was voluntarily destroyed by food establishment management and witnessed by inspector.
STOP SALE ORDER AND RELEASE
Reason: FS 500.04; FS 500.10 Adulterated.* Time/Temperature Control for Safety Food: Proper cold holding temperatures.
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
Disposition: Product was voluntarily destroyed by food establishment management and witnessed by inspector.
STOP SALE ORDER AND RELEASE
Reason: FS 500.04; FS 500.10 Adulterated.* Time/Temperature Control for Safety Food: Proper cold holding temperatures.
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
Disposition: Product was voluntarily destroyed by food establishment management and witnessed by inspector.
STOP SALE ORDER AND RELEASE
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.* Time/Temperature Control for Safety Food: Proper cooling time
and temperatures.
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight:
Disposition: Product was voluntarily destroyed by food establishment management and witnessed by inspector.
STOP USE ORDER
Reason: FS 500.04; FS 500.172 Unsanitary Equipment.* Utensils, Equipment and Vending: Food and nonfood-contact
surfaces cleanable, properly designed, constructed, and used.
Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business
Center at (850) 245-5520 or
[email protected].
Print Date: 9/6/2024
Page 27 of 28
When the department or its duly authorized agent finds, or has probable cause to believe, that any food or food-processing equipment is in
violation of this chapter or any rule adopted under this chapter so as to be dangerous, unwholesome, fraudulent, or insanitary within the meaning
of this chapter, an agent of the department may issue and enforce a stop-sale, stop-use, removal, or hold order, which order gives notice that
such article or processing equipment is, or is suspected of being, in violation and has been detained or embargoed and which order warns all
persons not to remove, use, or dispose of such article or processing equipment by sale or otherwise until permission for removal, use, or disposal
is given by the department or the court. It is unlawful for any person to remove, use, or dispose of such detained or embargoed article or
processing equipment by sale or otherwise without such permission in accordance with 500.172 (1) Florida Statutes.
Release - Other
The Food Establishment voluntarily agrees to release the products listed in the stop-sale order(s) on page(s) 25, 26 for destruction. The Food
Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction.
___________________________________
Signature of Food Establishment Representative
AN ADMINISTRATIVE HEARING IS AVAILABLE FOR ALL ORDERS, NOTICES, AND REPORTS IN THIS
SUPPLEMENTAL REPORT
If you wish to contest the Department's action, you have the right to request an administrative hearing to be conducted in accordance with
Sections 120.569 and 120.57, Florida Statutes and to be represented by counsel or other qualified representative. Your request for hearing must
contain:
1. Your name, address, and telephone number, and facsimile number (if any).
2. The name, address, and telephone number, and facsimile number of your attorney or qualified representative (if any) upon whom service of
pleadings and other papers shall be made.
3. A statement that you are requesting an administrative hearing and dispute the material facts alleged by the department, in which case you must
identify the material facts that are in dispute (formal hearing), or that you request an administrative hearing and that you do not dispute the facts
alleged by the department (informal hearing).
4. A statement of when (date) you received the Notice and the file number of this Notice.
Your request for a hearing must be received at the address shown on this Notice within twenty-one (21) days of receipt of this
Notice. If you fail to obtain a Release from this Notice or fail to request an administrative hearing within the twenty-one (21) day
deadline you waive your right to a hearing and the Department may enter a Final Order imposing up to the maximum penalties as authorized by
Florida Law.
HEARING WAIVER AND WAIVER OF RIGHTS
Moe
I, _____________________________________________________ the person in charge of P B PORT AND FUEL INC hereby waive a notice
and a hearing as provided in Chapter 120, Florida Statutes and waive all rights as provided on the last page of this report.
____________________________________________
(Signature)
ACKNOWLEDGEMENT
I acknowledge receipt of a copy of this document.
(Signature of FDACS Representative)
(Signature of Representative)
STEPHEN COLLINS, SANITATION AND SAFETY SUPERVISOR - SES
MOE, PERSON IN CHARGE
Print Name and Title
FDACS-14325 Rev. 07/13
Print Date: 9/6/2024
Page 28 of 28
Lot: Number of Packages:
Quantity: Size of Packages: · Total Weight: