Corner Store Brandon INC in Plant City

Comments: Check-Back release issued for Stop Use and/or Stop Sale Order. HANDWASHING SINK IN THE WAREWASHING AREA HAS BEEN REPAIRED. (REQUEST#5079756) ESTABLISHMENT BEING CHANGED FROM A 123-CONVENIENCE STORE W/LIMITED FOOD SERVICE TO A 124-CONVENIENCE STORE W/SIGNIFICANT FOOD SERVICE TO INCLUDE THE DELI OPENING IN THE NEAR FUTURE. HANDWASHING SINK WITH HOT AND COLD RUNNING WATER HAS BEEN INSTALLED IN DELI AREA.

Comments: The Minimum Construction Standards checklist has been used in accordance with 500.12(2)(a) Florida Statutes by the food safety inspector to determine compliance before obtaining a food permit. Payments can be made online at https://foodpermit.fdacs.gov or can be mailed to Florida Department of Agriculture and Consumer Services, P.O. Box 6720, Tallahassee FL 32314-6720. Checks and money orders are to be payable to Florida Department of Agriculture and Consumer Services. All payments must include the Food Establishment number and reason of payment type in the memo section of the check or money order. Septic System: no change in current food business operations. No visual indication of septic system failure. Re-inspection visit required issued for food establishment. A re-inspection will be conducted on or about 14 days. ESTABLISHMENT WILL NEED TO PROVIDE PROOF OF APPROVED WATER SOURCE. Stop Use Order issued. Food establishment can visit https://foodpermit.fdacs.gov or contact the Business Center at (850) 245-5520 when corrections have been made and/or when required documents have been obtained to request food safety inspector visit for written release of equipment. STOP USE ISSUED FOR ALL FOOD SERVICE UNTIL APPROVED WATER SOURCE HAS BEEN PROVIDED, PLUMBING AT THREE COMPARTMENT SINK AND HANDWASHING SINK HAS BEEN REPAIRED AND PROBE THERMOMETER HAS BEEN OBTAINED. INTERAGENCY FORM PROVIDED TO PERSON IN CHARGE WILL NEED TO BE APPROVED BY THE DEPARTMENT OF HEALTH OR ESTABLISHMENT CAN PROVIDE WELL PERMIT. Food Establishment manufactures, processes, packs, holds, prepares or sells products intended for human consumption that contain hemp, hemp extract, CBD or other cannabinoids. Provided current copy of s. 581.217, Florida Statutes, pertaining to labeling requirements of hemp extract products. Employee Health Guidelines and reporting agreement, Employee Health and Foodborne Illnesses handout, Norovirus cleaning procedures handout and Manual Dishwashing procedures provided to person in charge. This food establishment is operating without a valid food permit. The Food Establishment shall begin the permitting process within 10 days. Food establishment can apply online at https://foodpermit.fdacs.gov or contact the Business Center at 850-245-5520 for further assistance. ACKNOWLEDGMENT I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first page of this document are correct, or I have written the correct information on the first page of this document. (Signature of FDACS Representative) STEFANIA SKULADOTTIR-SIEBERT, SENIOR SANITATION AND SAFETY SPECIALIST (Signature of Representative) NOVA GILL, PERSON IN CHARGE Print Name and Title FDACS 14205 Rev. 07/13 Page 6 of 6 Florida Department of Agriculture and Consumer Services Division of Food Safety Bureau of Food Inspection Attention: Business Center 3125 Conner Boulevard, C-26 Tallahassee, FL 32399-1650 FOOD SAFETY INSPECTION SUPPLEMENTAL REPORT Florida Statues. Chapter 500.172, 500.174 (850) 245-5520 NICOLE "NIKKI" FRIED COMMISSIONER Food Entity #: Food Entity Name: Date Of Visit: Food Entity Location Address: Food Entity Mailing Address: Food Entity Type/Description: Food Entity Owner: *99997182189443*