Wawa in Miami

Comments: Focused Inspection - Sample Collection. A copy of thes report has been provided to the person in charge of the food establishment and will be available oniine at PNEAK CNT Name and Tite of Whom This Report was Issued Pri Cate 8/11/2025 Page tt § Florida Department of Agricultura and Gonsumer Services Division of Food Satoty WILTON SIMPSON COMMA SIINER Name. Wawa #45 Owner Wawa Florida Lie (Wi) Type Convenience Store Significant 8 AND/OR Packaged ico Address 11990 SW 197th Avo, Miami, PL 99166 SAMPLE INFORMATION ‘Sample Number 990638832 16331 Prowtuct (cE Brand WAWA #5245, Vanety Let BULK Ongin Country, USA COLLECTION INFORMATION Date of Collection: 08/11/2025 10:30 AM Laboratory: Food Laboratory Reason for ‘Survey sample Additonal Comments: N/A SAMPLE DETAILS ‘Type of Container at Time of Collection —_ Whirl-Pak bags Type of Storage at Time of Collection: Frozen ‘Swe of Container: Whir-Pak bags of100 mi # of Container in Sample: 2 (Collected From: RETAIL Size of Lot BULK ‘Stop Sale Issued? N SHIPPING INFORMATION Date of Shipment: 08/11/2025 Srupped By. FEDEX Tracking Number. 8834 7335 2191 FETY SAMPLE COLLECTION REPORT Chapter 500, Pri Blatter (109 248.0800 Vet © GAAS 1NEL SIR 1A Burns A FA apaction Attention Business Contr 3125 Comnun tormervaed C26 Vater anne Fl 379A Estathetenent # 987321 Date of Viet August 11, 2025 Inspected By —- GUISELLA URIBE Florida Department of Agriculture and Consumer Services Division of Food Sataty WILTON SIMPRON Nave Owner Wawa ah Wawa Florida Lie (WM) FOOD SAFE Chapler , enida Shatter (nay 24h 400 Type Convenience Store Significant FS AND/OR Packaged Ico Ackiress: ‘SAMPLE INFORMATION Sample Number 99963883216932 Product: Ice Brand WAWA 15245 Vanety Lot BULK Origin Country: USA COLLECTION INFORMATION Date of Collection: Laboratory: Food Laboratory Reason for Collection: Survey sample Additional Comments: N/A SAMPLE DETAILS Type of Container at Time of Collection Type of Storage at Time of Collection: Size of Container. # of Container In Sample: Collected From: Size of Lot: Stop Sale Issued? ‘SHIPPING INFORMATION Date of Shipment: 08/11/2025 Shipped By: FEDEX Tracking Number: 8834 7335 2191 11990 SW 197th Ave. Miami, PL 99186, 08/11/2025 10:30 AM Whir-Pak bags Frozen Whirt-Pak bags of 100 mi 2 RETAIL BULK N BAMPLE COLLECTION REPORT Viet # GAL 1NEL YR TA Attenwon Buwn 125 Conran toxseoras C26 Talaracame Fl 3718 i ana Estatlishienent #287321 Dats of Viet Auguat 11, 2925 Inspected By GUISELLA URIBE a; Print Name and Tie MARIA CAROLINA MATAMOROS, MANAGER Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY SAMPLE COLLECTION REPORT Visit #: 9999-7182-2006-74 Bureau of Food Inspection Attention: Business Center WILTON SIMPSON Chapter 500, Florida Statutes 3125 Conner Boulevard, C-26 ae eat eo) Tallahassee, FL 32399-1650 {AOE A Name: Wawa #5245 Establishment #: 387321 Owner: — Wawa Florida Lic (Wf) Date of Visit: August 11, 2025 Type: —_ Convenience Store Significant FS AND/OR Packaged Ice Inspected By: GUISELLA URIBE Address: 11990 SW 137th Ave. Miami, FL 33186 SAMPLE INFORMATION Sample Number: 99963883216333 Product: ICE Brand: WAWA #5245 Variety: Lot: BULK Origin Country: USA COLLECTION INFORMATION Date of Collection: 08/11/2025 10:30 AM Laboratory: Food Laboratory Reason for Collection: Survey sample Additional Comments: N/A SAMPLE DETAILS Type of Container at Time of Collection —_ Whir-Pak bags Type of Storage at Time of Collection: Frozen Size of Container: Whirl-Pak bags of100 ml # of Container In Sample: 2 Collected From: FOOD SERVICE Size of Lot: BULK ‘Stop Sale Issued? N SHIPPING INFORMATION Date of Shipment: 08/11/2025 Shipped By: FEDEX Tracking Number: 8834 7335 2191 emer GUISELLA URIBE, ENVIROMENTAL SPECIALIST I Print Namo and Tie MARTPGARGLNAMIATAMOROS, MANAGER: 7

Comments: Trainee present during inspection. All violations verified by primary inspector. Focused Inspection - Sample Collection.