Vw Publix in Lynn Haven

Comments: Conducted Routine Offsite Inspection. Lab results provided.

Comments: Conducted routine offsite inspection. Lab results provided.

Comments: Conducted offsite routine inspection. Lab results provided.

Comments: Focused Inspection - Sample Collection. Acopy of this reporl has been provided lo the person in charge of the food establishment and will be available online at pdt it (dacs gowRey 'JSearchFoodEntity aspx. t Ceohee___ . D rl CHRISTOPHER KEHOE. CUSTOMER SERVIVE MANAGER: DIANA DUNCAN, SENIOR SANITATION AND SAFETY SPECIALIST Name and Tite of Whom Tha Report was issued Prien Dana: 171672024 Page tos Scanned by CamScanner Florida Department of Agricullure and Consumer Services Division of Food Safety FOOD PLE C Vial #; 9999-7162-2416-73 SAFETY SAMPLE COLLECTION REPORT Bureau of Food ina WILTON SIMPSON (Chapter 500, Flonda Suatuies 3125 Conner Boulevard, COMMASSIONER (250) 245-8520 Tallahassee, FL 32399-1650 OO Name: Publix # 0823 Owner, — Publix Super Markets Inc (Pub) Typo: Supermarket Address: 2310 S HIGHWAY 77 LYNN HAVEN, FL32444 - 4616 Establishment #; 279177 Date of Visit January 16, 2024 Inspected By: DIANA DUNCAN SAMPLE INFORMATION Sample Number. 99963853210098 Product: Deli Case Cheese Brand: Boar's Head Variety: Colby Jack Cheese Lot SELL BY; 05-06-24 23312 M8 12:12:13 Origin Country; USA ‘COLLECTION INFORMATION Date of Collection: 01/16/2024 01:45 PM Laboratory: Food Laboralory Reason for Collection: Survey sample Additional Comments: Pathogens SAMPLE DETAILS Type of Container al Time of Collection: —_ Plastic ziploc bag Type of Storage at Time of Collection: Chilled Size of Container 6oz # of Container In Sample: 4 Collected From: Deli Department Dell Case Size of Lot 1.64 Pounds Stop Sale Issued? N SHIPPING INFORMATION Dale of Shipment: 01/16/2024 ‘Shipped By: FedEx Tracking Number: 774740863868 ZA WN Dun Chrstophec Kehoe Gishmue Secric Mersee DIANA DUNCAN, SENIOR SANITATION ANDO SAFETY SPECIALIST Prim Name and Tre" Print Gato: 16/2024 Page 20S Scanned by CamScanner (080) 245-8520 Name: Publix # 0823 Owner. Publix Super Markets Inc (Pub) Type: Supermarket Address: 2310 S HIGHWAY 77 LYNN HAVEN, FL 32444 - 4616 ‘SAMPLE INFORMATION Sample Number, 9963883210102 Product: Deli Case Cheese Brand: Boar's Head Variety: BABY SWISS Lot: SELL BY JUN 02 2024LOT# O4WL 10132308 15:58 Origin Country: USA COLLECTION INFORMATION Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY SAMPLE COLLECTION REPORT Chapter 500, Florida Statutes Visit #: 9999-7182-2416-73 Bureau of Food inspection Attention: Business Canter 3125 Conner Boulevard, C-26 Tallahasseo, FL 32399-1650 Establishment #. 279177 Date of Visit: January 18, 2024 Inspected By: DIANA DUNCAN Date of Collection: 01/16/2024 01:52 PM Laboratory: Food Laboratory Reason for Collection: Survey sample Additional Comments: Pathogens SAMPLE DETAILS Type of Container at Time of Collection: Plastic ziploc bag Type of Storage at Time of Collection: Chilled Size of Container. 6oz # of Container In Sample: 4 Collected From: Defi Department Deli Case Size of Lot: 2.56 Pounds Stop Sale Issued? N ‘SHIPPING INFORMATION Date of Shipment: 01/16/2024 Shipped By: FedEx Tracking Number, 774740863868 K. Nume— Chershadner Keline, Customer Sevict Aungee DIANA DUNCAN, SENIOR SANITATION AND SAFETY SPECIALIST