Starbucks # 9976 Establishment #: in Venice

Reason: FS 500.04; FS 500.172 Unsanitary Equipment.* Chapter 5K-4: Food deemed adulterated.

Disposition: Equipment was cleaned, sanitized, checked, and released.

Reason: FS 500.04; FS 500.172 Unsanitary Equipment." Chapter 5K-4: Food deemed adulterated. Comments: When corrections have been made, request a Food Safety Inspector visit for written release of product by contacting the Business Center at (850) 245-5520 or [email protected]. Print Date: 12/11/2024 Page 1 of 2 (8 CamScanner When the department oF te duly authorized agent finds, of has probable cause to believe, that any food of food procasaing equipment is in violation of this chapter or any rule adopted under this chapter so an to be dangerous, unwholesome, fraudulent, of insanitary vAthin tha meaning of this chapter, an agent of the depariment may issue and enforce a stop sale, slop use, removal, of hold order, which order gives notien that such article oF processing equipment is, oF Is BuUBpPected of being, In violation and has been detained of embargoed and which order warns all persons not to remove, use, oF dispose of Buch article oF processing equipment by sale oF otherwise until permission for femaval, use, oF disposal is given by the department or the court It is unlawtul for any person to remove, URE, OF dispone Of such dalained OF embarqoed article oF processing equipment by sale or otherwise without such permiasion in accordance with 600.172 (1) Florida Statutes 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 tho right lo request an administrative hearing to be conducted in accordance with Sections 120.569 and 120.57, Florida Statutes and to be represented by counsol or othor qualifiod reprosontative. 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 whorn 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 rust 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 1_Liadsey Hayes the person in charge of STARBUCKS # 9976 hereby waive a notice and a hearing as provided inl Chapter 120, Florida Statutes and waive all rights as provided on the last page of this report. dialer Hades (Signature) ee i} acknowledge receipt of a copy of this document. Aimakdty Eto 2 ads (Signature of f= Repre povel (Signature of Reprefgntative) 0 SCOTT RAPRAGER, ENVIRONIA! t. SPECIALIST It LINDSEY HAYES, ASM Print Name and Title FDACS-14225 Rev. 07/13 Pret Date 1211/2024 Pepe 22 (8 CamScanner be} CamScanner