Inspector: DIANA DUNCAN
Risk-Based Violations
No documentation provided that food employees completed a training of what foodborne
illness or symptoms need to be reported to their supervisor. Industry handout provided.
Unable to verify the Certificate of analysis. Stop Sale Order supplement issue. See
comments.
Retail: Assorted cold holding Time and temperature control for food safety pre-package
breakfast and lunch sandwiches, and prepackaged cheese observed at an internal temperature of 55
degrees F. COS Stop Sale and released supplement order issue. See comments.
Citation Description: Establishment does not have written procedures for employees to follow when
responding to an event that involves the discharge of vomitus or diarrhea onto surfaces at the food
establishment, or procedures do not address specific actions employees must take to minimize the spread
of contamination and the exposure of employees, consumers, food, and surfaces to vomitus or fecal
matter. 2-501.11 Pf
Observation: No Written procedure in effect for the clean-up and disinfection of vomiting or diarrhea
events. Industry handout provided. See comments.
Good Retail Practice Violations
No probe thermometer provide for checking perishable food temperature.
Retail food counter: Drink and boil peanut cups stored in dispenser and on top of the counter
the end cups are exposed. COS Lid was placed on all the end cups.
Stop-Sale Orders & Supplemental Actions
STOP SALE ORDER
— Brand: Cutleaf
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 9 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 7 Size Of Pkg: 2 Grams Total Weight: 14 Grams
STOP SALE ORDER
— Brand: Cutleaf
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 10 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 6 Size Of Pkg: 2 Grams Total Weight: 12 Grams
STOP SALE ORDER
— Brand: Cutleaf
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 11 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 8 Size Of Pkg: 2 Grams Total Weight: 16 Grams
STOP SALE ORDER
— Brand: Loud Leaf Za Dept
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 12 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: BATCH#: # Of Pkgs: 1 Size Of Pkg: 3.5G Total Weight: 3.5G
STOP SALE ORDER
— Brand: Loud Leaf Za Dept
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 13 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: BATCH#: # Of Pkgs: 1 Size Of Pkg: 3.5G Total Weight: 3.5G
STOP SALE ORDER
— Brand: Loud Leaf Za Dept
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 14 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: BATCH#: # Of Pkgs: 2 Size Of Pkg: 3.5G Total Weight: 7G
STOP SALE ORDER
— Brand: Loud Leaf Za Dept
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 15 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: BATCH#: # Of Pkgs: 2 Size Of Pkg: 3.5G Total Weight: 7G
STOP SALE ORDER
— Brand: LOST THC
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 16 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Batch # Of Pkgs: 4 Size Of Pkg: 7500 MG Total Weight: 30000 mg
STOP SALE ORDER
— Brand: LOST THC
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 17 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Batch #: # Of Pkgs: 5 Size Of Pkg: 7500 MG Total Weight: 37500 MG
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 18 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 7 Size Of Pkg: 2.5 grams Total Weight: 17.5 grams
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 19 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 3 Size Of Pkg: 2.5 grams Total Weight: 7.5 grams
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 20 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 7 Size Of Pkg: 2.5 grams Total Weight: 17.5
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 21 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 7 Size Of Pkg: 2.5 grams Total Weight: 17.5 grams
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 22 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 6 Size Of Pkg: 2.5 grams Total Weight: 15 GRAMS
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 23 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 3 Size Of Pkg: 2.5 grams Total Weight: 7.5
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 24 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 2.5 grams Total Weight: 10 grams
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 25 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 6 Size Of Pkg: 2.5 grams Total Weight: 15 grams
STOP SALE ORDER
— Brand: DON'T TRIP by dozo
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 26 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 2.5 grams Total Weight: 10 grams
STOP SALE ORDER
— Brand: Pressure Los Angeles
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 27 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 5 Size Of Pkg: 3.5 grams. Total Weight: 17.5 Grams
STOP SALE ORDER
— Brand: Pressure Los Angeles
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 28 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 3.5 grams. Total Weight: 14 grams
STOP SALE ORDER
— Brand: Pressure Los Angeles
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 29 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 3.5 grams. Total Weight: 14 grams
STOP SALE ORDER
— Brand: Pressure Los Angeles
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 30 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 5 Size Of Pkg: 3.5 grams. Total Weight: 17.5 grams
STOP SALE ORDER
— Brand: CHILL buda
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 31 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 2 Size Of Pkg: 2 GRAMS Total Weight: 4 GRAMS.
STOP SALE ORDER
— Brand: CHILL buda
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.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 32 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Stat Chapter 500.172, 500.174
WILTON SIMPSON aon 80) 245.5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 2 GRAMS Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: FLYING MONKEY
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 33 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Stat Chapter 500.172, 500.174
WILTON SIMPSON aon 80) 245.5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Batch# # Of Pkgs: 17 Size Of Pkg: 17.5G Total Weight: 297.5G
STOP SALE ORDER
— Brand: FLYING MONKEY
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 34 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Batch# # Of Pkgs: 17 Size Of Pkg: 17.5G Total Weight: 297.5G
STOP SALE ORDER
— Brand: MELLOW FELLOW
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 35 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: # Of Pkgs: 2 Size Of Pkg: 800 mg Total Weight: 1600 mg
STOP SALE ORDER
— Brand: MELLOW FELLOW
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 36 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: # Of Pkgs: 1 Size Of Pkg: 800 MG Total Weight: 800 MG
STOP SALE ORDER
— Brand: ZOM 31
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 37 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 7 Size Of Pkg: 300 MG Total Weight: 2100 MG
STOP SALE ORDER
— Brand: ZOM 31
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 38 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 30 Size Of Pkg: 300 MG Total Weight: 9000 MG
STOP SALE ORDER
— Brand: ZOM 31
Reason: FS 581.217 Distribution and Retail Sale of Hemp Extract. * Attractive to Children.
Comments: Product packaging material contains images and drawings that are attractive to children.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 39 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 1 Size Of Pkg: 300 MG Total Weight: 300 MG
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 40 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B176JY05 # Of Pkgs: 3 Size Of Pkg: 2 GRAMS Total Weight: 6 GRAMS.
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 41 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B158NR30 # Of Pkgs: 3 Size Of Pkg: 2 GRAMS Total Weight: 6 GRAMS.
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 42 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B158NR30 # Of Pkgs: 3 Size Of Pkg: 2 GRAMS Total Weight: 6 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills CLUB
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 43 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 5 Size Of Pkg: TWO Total Weight: 10 GRAMS
STOP SALE ORDER
— Brand: Hidden Hills
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 44 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: TWO Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 45 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: Size Of Pkg: TWO Total Weight: 2 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 46 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: TWO Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 47 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: TWO Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 48 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: TWO Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 49 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 3 Size Of Pkg: TWO Total Weight: 6 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 50 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: Size Of Pkg: TWO Total Weight: 10 GRAMS
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 51 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: TWO Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 52 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 5 Size Of Pkg: TWO Total Weight: 10 GRAMS
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 53 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 5 Size Of Pkg: TWO Total Weight: 10 GRAMS
STOP SALE ORDER
— Brand: GREEN DIAMOND
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 54 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Batch # Of Pkgs: 20 Size Of Pkg: 1g Total Weight: 20 G
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 55 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B158NR30 # Of Pkgs: 1 Size Of Pkg: 2 GRAMS Total Weight: 2 GRAMS.
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 56 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B158NR30 # Of Pkgs: 1 Size Of Pkg: 2 GRAMS Total Weight: 2 GRAMS.
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 57 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B176JY05 # Of Pkgs: 4 Size Of Pkg: 2 GRAMS Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 58 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B176JY05 # Of Pkgs: 4 Size Of Pkg: 2 GRAMS Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 59 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B176JY05 # Of Pkgs: 6 Size Of Pkg: 2 GRAMS Total Weight: 12 GRAMS
STOP SALE ORDER
— Brand: LOOPER
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 60 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: B176JY05 # Of Pkgs: 4 Size Of Pkg: 2 GRAMS Total Weight: 8 GRAMS.
STOP SALE ORDER
— Brand: Hidden Hills Club
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 61 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
WILTON SIMPSON (80) 245-5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 8 Size Of Pkg: TWO Total Weight: 16 GRAMS
STOP SALE ORDER
— Brand: CHILL buda
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 62 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
WILTON SIMPSON (80) 245-5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT #: # Of Pkgs: 3 Size Of Pkg: 7.0G Total Weight: 21.0g
STOP SALE ORDER
— Brand: CHILL buda
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 63 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
WILTON SIMPSON (80) 245-5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT #: # Of Pkgs: 1 Size Of Pkg: 7.0G Total Weight: 7.0G
STOP SALE ORDER
— Brand: CHILL buda
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 64 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
WILTON SIMPSON (80) 245-5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT #: # Of Pkgs: 4 Size Of Pkg: 7.0G Total Weight: 28.0G
STOP SALE ORDER
— Brand: CHILL buda
Reason: FS 500.04; FS 500.11 Misbranded.* Labeling
Comments: To request a Food Safety Inspector visit for written release when appropriate documentation has been obtained,
contact the Business Center at (850) 245-5520 or FoodSafety@FDACS. gov.
Labeling - Not labeled according to law.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 65 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT #: # Of Pkgs: 5 Size Of Pkg: 7.0G Total Weight: 35.0G
STOP SALE ORDER
— Brand: Mystic Labs
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 66 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT: # Of Pkgs: 4 Size Of Pkg: 300 MG Total Weight: 1200 MG
STOP SALE ORDER
— Brand: Mystic Labs
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 67 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Stat Chapter 500.172, 500.174
WILTON SIMPSON aon 80) 245.5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Lot: # Of Pkgs: 5 Size Of Pkg: 300 MG Total Weight: 1500 MG
STOP SALE ORDER
— Brand: Mystic Labs
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 68 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Stat Chapter 500.172, 500.174
WILTON SIMPSON aon 80) 245.5820
COMMISSIONER
Visit #: 99997 182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT: # Of Pkgs: 5 Size Of Pkg: 300 MG Total Weight: 1500 MG
STOP SALE ORDER
— Brand: Mystic Labs
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 69 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: LOT: # Of Pkgs: 4 Size Of Pkg: 300 MG Total Weight: 1200MG
STOP SALE ORDER
— Brand: MOON BUZZ
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 70 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: BATCH# # Of Pkgs: 9 Size Of Pkg: 4 GRAMS. Total Weight: 36 GRAMS
STOP SALE ORDER
— Brand: Preasure LOS ANGELES
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 71 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 3.5 Total Weight: 16 GRAMS
STOP SALE ORDER
— Brand: Various
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 72 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: Multiple # Of Pkgs: Multiple Size Of Pkg: Various Total Weight: Multiple
STOP SALE ORDER
— Brand: happi HORIIIZONS
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 73 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 4 Size Of Pkg: 3.5 G Total Weight: 14 G
STOP SALE ORDER
— Brand: happi HORIIIZONS
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 74 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 1 Size Of Pkg: 3.5 G Total Weight: 3.5 G
STOP SALE ORDER
— Brand: happi HORIIIZONS
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 75 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 3 Size Of Pkg: 3.5 G Total Weight: 10.5 G
STOP SALE ORDER
— Brand: happi HORIIIZONS
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 76 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 3 Size Of Pkg: 3.5 G Total Weight: 10.5 G
STOP SALE ORDER
— Brand: happi HORIIIZONS
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 77 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 3 Size Of Pkg: 3.5 G Total Weight: 10.5 G
STOP SALE ORDER
— Brand: happi HORIIIZONS
Reason: FS 500; FAC 5K-4 Violation of Florida Food Law.” Distribution and Retail Sale
Comments: Stop Sale Order of all Hemp / CBD products until all Certificated of analysis can be verify.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 78 of 81
Florida Department of Agriculture and Consumer Services Bureau of Food Inspection
Attention: Business Center
Division of Food Safety 3125 Conner Boulevard, C-26
Tallahassee, FL 32399-1650
FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT
Florida Statues. Chapter 500.172, 500.174
(850) 245-5520
WILTON SIMPSON
COMMISSIONER
Visit #: 99997182256291
Food Entity #:
Food Entity Name: Marianna Food Mart
Date Of Visit: June 11, 2024
Inspected By: DIANA DUNCAN
Food Entity Location Address: 2999 Jefferson ST Marianna, FL 32446-3143
Food Entity Mailing Address: 101 Anthem Ave Dothan, AL 36305-7345
Food Entity Type/Description: 123/Convenience Store Limited FS
Food Entity Owner: mariyanna food mart llc
Lot: NA # Of Pkgs: 2 Size Of Pkg: 3.5 G Total Weight: 7 G
STOP SALE ORDER AND RELEASE
STOP USE ORDER
— Brand: MB MASTER BILT
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: To request a Food Safety Inspector visit for written release when corrections have been made for request release of
equipment, contact the Business Center at (850) 245-5520 or
[email protected]. In order to obtain released the Retail
Dairy cooler must maintain the internal temperature of perishable food at 41 degrees F or below. Dairy cooler can be uses for non
perishable food items.
FDACS-14325 Rev. 05/22
ACKNOWLEDGEMENT
Print Date: 6/18/2024
Page 80 of 81
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 ON DESTROYED PRODUCTS.
I, the person in charge of Marianna Food Mart 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.
Refused to sign
(Signature)
ACKNOWLEDGEMENT
A copy of this report has been provided to the person in charge of the food establishment.
\ | acknowledge receipt of a copy of this document.
; ; \ Refused to sign
Signature of FDACS Representative Signature of Representative
DIANA DUNCAN, SENIOR SANITATION AND SAFETY SPECIALIST SISODIYA YUVRAISINH MANHARSINH, EMPLOYEE
Print Name and Title
FDACS-14325 Rev. 07/13 Page 75 of 75
Print Date: 6/18/2024
Page 81 of 81
Lot: NA # Of Pkgs: NA Size Of Pkg: NA Total Weight: NA