Vw Publix in Lutz

Comments: Conducted routine offsite inspection. Lab results provided.

Comments: Conducted Country of Origin Labeling audit. FL25N0668.

Comments: Focused Inspection Acopy of this report https://foodpermit -Routine Sample Collection. has been provided fdacs. to the person gov/Reports/SearchFoodEntity, in charge of the food establishment eANTOC SARA FELDHAUS,SANITATION Date: 8/18/2025 Page 1 of 1 Print AND SAFETY SPECIALIST and will be available online at aspx. ROCERAeER Name and Title of Whom This Report was Issued fnayer Florida Department ARTME of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY SAMPLE COLLECTIONREPORT VIsit#:9999-7182-3014-17 Bureau VSUMER SERVI of Food Inspection Attention: Business WILTON SIMPSON Chapter 500, Florida Statutes cOMMISSIONER (850)245-5520 Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650 Name: Publix # 0834 Establishment Owner: Publix Super Markets Inc (Pub) Date of Visit: August 18,2025 Type: Supermarket 16560 N Nebraska Ave Inspected SARA FELDHAUS Address: Lutz, #: By: FL 33549 -6172 SAMPLE INFORMATION Sample Number: Product: Brand: 99963883216509 BH PICANTE SH PROVOLONE PUBLIX # 0834 Variety: PACK Lot: Origin COLLECTION DATE: 08/18/25 USA Country: INFORMATION Date of Collection: 08/18/2025 Laboratory: Food Laboratory Reason for Collection: Additional Survey Comments: 01:25 PM sample Whole Chub Lot Code: PACK DATE: 08/17/25 SAMPLE DETAILS Type of Container at Time of Collection Type of Storage at Time of Collection: Reseable PLastic Bag Size of Container: 0.47 # of Container In Sample: Collected From: Deli Counter Chilled Ib - Sliced on Cheese Slicer Size of Lot: Stop Sale lssued? SHIPPING INFORMATION Date of Shipment: Shipped By: Tracking Number. 08/18/2025 FedEx N/A SUSANNASCA SARA FELDHAUS,SANITATION

Comments: Conducted Routine Offsite Inspection. Lab results provided.

Comments: Conducted routine inspection offsite. Lab results provided.