Country Fresh Cafe in Cantonment

Reason: 500.10(1)(a), 581.217(3)(e), F.S., 893.03(1)(c)190.a., F.S.* Controlled Substance Comments: The product contains a control substance prohibited pursuant to Chapter 893, Florida Statutes, and may not be sold or distributed. To request a Food Safety Inspector visit to obtain a written release of the Stop-Sale Order for purposes of removing and destroying the product, contact the Business Center at (850) 245-5520 or [email protected]. Release of the product for destruction may require a court order.

Reason: 500.10(1)(a), 581.217(3)(e), F.S., 893.03(1)(c)190.a., F.S.* Controlled Substance Comments: The product contains a control substance prohibited pursuant to Chapter 893, Florida Statutes, and may not be sold or distributed. To request a Food Safety Inspector visit to obtain a written release of the Stop-Sale Order for purposes of removing and destroying the product, contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov. Release of the product for destruction may require a court order. FDACS-14325 Rev. 07/13 Page 1 of 18 (8 CamScanner Florida Department of Agriculture and Consumer Services eirmarch se ww Division of Food Safety Attention: Business Center 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Talepenteee Sear: 1680 Florida Statues. Chapter 500.172, 500.174 ‘Commeantonar : “eo zss20 OOOO COMMISSIONER Print Date: March 13, 2024 Visit #:99997182247551

Reason: 500.10(1)(a), 581.217(3)(e), F.S., 893.03(1)(c)190.a., F.S.* Controlled Substance Comments: The product contains a control substance prohibited pursuant to Chapter 893, Florida Statutes, and may not be sold or distributed. To request a Food Safety Inspector visit to obtain a written release of the Stop-Sale Order for purposes of removing and destroying the product, contact the Business Center at (850) 245-5520 or [email protected]. Release of the product for destruction may require a court order.

Reason: 500.10(1)(a), 581.217(3)(e), F.S., 893.03(1)(c)190.a., F.S.* Controlled Substance Comments: The product contains a control substance prohibited pursuant to Chapter 893, Florida Statutes, and may not be sold or distributed. To request a Food Safety Inspector visit to obtain a written release of the Stop-Sale Order for purposes of removing and destroying the product, contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov. Release of the product for destruction may require a court order. Rane 44296 Daw ATA Page 2 of 18 Florida Department of Agriculture and Consumer Services Bureau of Food Inspection Division of Food Safety ‘Attention: Business Center 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Talaneseesc EL S109) wacxoirenseon Florida site Sep 00.172 500.174 Hh WON COMMISSIONER: Print Date: March 13, 2024 Visit #:99997182247551

Reason: 500.10(1)(a), 581.217(3)(e), F.S., 893.03(1)(c)190.a., F.S.* Controlled Substance Comments: The product contains a control substance prohibited pursuant to Chapter 893, Florida Statutes, and may not be sold or distributed. To request a Food Safety Inspector visit to obtain a written release of the Stop-Sale Order for purposes of removing and destroying the product, contact the Business Center at (850) 245-5520 or [email protected]. Release of the product for destruction may require a court 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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature, FDACS-14325 Rev. 07/13 Page 3 of 18 CamScanner Florida Department of Agriculture and Consumer Services Florida Department of Agriculture and Consumer Services Binet of Feed Inmometion Division of Food Safety Allontion: Qhisinens Cantor 1195 Ganner Aeulevart C24 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT TREO FREE: Oee meena OT LT (ASO) 248-6690 Print Date: March 13, 2024 Visit #99997 182247551

Reason: FS $81.217 Distribution and Retail Sale of Homp Extract. * Attractive to Childron. Comments: When corrections have been made, request a Food Safaty Inspector visit for written release of product by contacting the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Bada

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Qa Lee

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Geo, FDACS-14325 Rev. 07/13 Page 5 of 18 CamScanner Florida Department of Agriculture and Consumer Services arnauat kaa basen Division of Food Safety Attention: Business Centar 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Tenendeee) FUGZICE 660 Sm meeengsanm NOAM COMMISSIONER Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. .Z Qe La

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Wa we EMAGS-14925 Rev. 07/13 Page 6 of 18 CamScanner Florida Department of Agriculture and Consumer Services iiironnde ed asec, Division of Food Safety Attention: Business Centar 3125 Conner Boulevard, C-25 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Teennenen) LOR Florida Statues. Chapter 500.172, 500 174 (850) 245-5520 Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. a% a dy “a

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Qa he FDACS-14325 Rev. 07/13 Page 7 of 18 CamScanner Florida Department of Agriculture and Consumer Services aurea ot bo Weapon Division of Food Safety praca ectddin eens 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Taaarennes EL Scere 180 Florida Statuos. Chapter 500.172, 500.174 WILTON SIMPSON (850) 245-5520 COMMISSIONER Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Da pte

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. oSa He FDACS-14325 Rev. 07/13 Florida Department of Agriculture and Consumer Services Division of Food Safety Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Tes eee Flonda Stati 500.172, 500.174 ee “es (MORO COMMISSIONER | Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature.

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Broke FDACS-14325 Rev. 07/13 Page 9 of 18 CamScanner emo CH FCOS Sate ata Altiantteny: Hiieirines Canter N28 Ciseerar Bintevertt, C26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT TUR SER SR Piva Sven Chane ONY TTD Ch Ete MOG, DEL CHIE iil mu Pb Cyate Maeedy 14, Ae Visit M9097 1824755 1

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Kade.

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. signature QAR FDACS-14325 Rev. 07/13 Page 11 of 18 CamScanner Florida Department of Agriculture and Consumer Services Bureau of Food Inspection Division of Food Safety Attention: Business Center 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT TARAS FE Sz9RTs LEED — memensreaan ONO ANUAHRAEN COMMISSIONER Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Cee

Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children. Comments: When corrections have been made, request a Food Safely Inspector visit for written release of product by contacting the Business Center at (850) 245-5520 or [email protected]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature Back FDACS-14325 Rev. 07/13 Page 12 of 18 CamScanner Florida Department of Agriculture and Consumer Services Division of Food Safety proneted arblay Center 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT TES ENESCO IOED cam ema (OANA COMMISSIONER Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature, Qe. AZ

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. & ae ENacs-14325 Rev. 07/13 Page 13 of 18 CamScanner Florida Department of Agriculture and Consumer Services Bureau of Food Inapection Division of Food Safety Attention: Business Cantar 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Talehaesee, FLSzaeHIeG0 Florida Statues. Chapter 600.172, 500.174 WILTON SIMPSON (850) 245-5520 COMMISSIONER Print Date: March 13, 2024 Visit #:99997 182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. aks

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Se Aa FDACS-14325 Rev. 07/13 Page 14 of 18 CamScanner Pieris Dregernieet cf Agydiemitiers ad Conanitier Qarytins . Didi af Band Siaftaty Peonos arene sineinal THC eteaeenat rterwmnend: (fT PODID SAFETY NOES TON SUMO EMENTAL REPORT Naltaheawema Fh 1DTOM Heit Pee Cee, Clam 8 Om EN fee pee cet Seve Ovate Uren, a Me Viet # oda rts sA7AsY STDP SALE ONDEN Suinnlertental Mary fo IRATE Baattaieerst te: further trretraectinetye freer ants muutttietrtenees ngeeeets off thee Mertidee Mveeeear termes oP Ariens ant Cherveatirnn Servite, YOU ARE HEME Y COEDHESHED TO WITHCEOILID THE GHDHDIDES MIEN THIEL wEINEINN CIONT TOVEMENT, GALE, OF UAE Phin ater Sante TIS eatep tree te fhe termererewertt cemtin rrr tema off Moe aebenetittind! carwnerie wwettvine on actyaten oof Martitin anvet thy the errwerrtentt cr enter of fhe Grice fren p Merete fect wvherttiee fhe motile de roenrnipitediond) vnitine, de gemnent, on Sy arty thine inertia, Attite: Sitrewevteeerry: Ciesteveles Farend Nertrre Porn Loreen fortye 2 Sine OF PH ye Postal Ynkght) 40069 eR Tnveoiiors fe NUAG Inywesieors Orntens Menutinctyner STAG There Dare Sastte AS Cheyne WY SEED T Dect atior The pematy reseen end eoriditen (het enumed the genet er eeusiiment afoyy dabe or atop Wie and datarningd lo be Altinctive to Dielirwr were TS DN PT Thentethvattienn cere Seetianl Shatte: eff Beran Letina * Aitrsoetioe tty Chiltan, Comments Mhen cormchone have heen mate, eeauett a Freed Safety lmprctor yiut for wrttan rinane of produel by contneting the Baeenane Conter oti (YM) YARAID f TeondRetletyQF ONS gow “The Tad thesia rere welurttaeliy syyrmee Yo retiesme Me groelache hefer! is Iie atop eras oretet for cleatietion, Me Food Shaeabsesttorrveor tl will rie Heke Thee Soenpeenttfrecert| Hattie Toe ery Lavell Pemortare oF cbr ies amt a Moeull Of thes destination, Bigretasre, 2 424

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature.

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]. ‘The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature. Koi che FDACS-14325 Rev. 07/13 Page 16 of 18 CamScanner Florida Department of Agriculture and Consumer Services re if Food Ir ic Division of Food Safety peers anes Coa 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Teaheeeg, Fear eet Florida Statues. Chapter 500.172, 500.174 WILTON SIMPSON (850) 245-5520 (ONIN MAN COMMISSIONER Print Date: March 13, 2024 Visit #:99997182247551

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. Signature rrcle

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]. The Food Establishment voluntarily agrees to release the products listed in this stop-sale order for destruction. The Food Establishment will not hold the Department liable for any lost revenue or income as a result of the destruction. J Signature. bags 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 wams all persons not to remove, use, or dispose of such article or processing FDACS-14325 Rev. 07/13 Page 17 af 1A CamScanner Florida Department of Agriculture and Consumer Services Pia it Food I ie Division of Food Safety prershe tpl 3125 Conner Boulevard, C-26 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT TRNAS Hon) FES Cate Florida Statues, Chapter 600,172, 500.174 pecie wate CO COMMISSIONER Print Date: March 13, 2024 Visit #:99997 182247551 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. 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 DADA DE the person in charge of COUNTRY FRESH CAFE 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. Qaida (Signature) ACKNOWLEDGEMENT | acknowled pom of this document. (Signature of FDACS Representative) (Signature o efrekentative) — ROBERT KENISTON, SANITATION AND SAFETY SPECIALIST DADA DE, MANAGER Print Name and Title (8 CamScanner