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<br /> <br />Florida Department of Agriculture and Consumer Services <br />Division of Food Safety <br />FOOD SAFETY INSPECTION REPORT 111111111111101111111111111111I1111I11111I11111111111I1111I1111I111111 <br /> <br />F,S. Chapter 500 <br /> <br />Visi1# 4034-7781-6002-28 <br /> <br />Bureau of Food and Meat Inspection <br />Attention: Records Section <br />3125 Conner Boulevard, C-26 <br />Tallahassee, Florida 32399-1650 <br /> <br />CHARLES H. BRONSON <br />COMMISSIONER <br /> <br />Print Date: February 20, 2006 <br /> <br />Firm Number: <br />Firm Name: <br />Date of Visit: <br /> <br />301872 <br />HOLE IN ONE DONUT SHOP # 0003 <br />FebI1llll)' 20, 2006 <br /> <br />14837N FLORIDA AVE TAMPA, FL 33613 <br />14837N FLORIDA AVE, TAMPA, FL 33613 <br />141 RETAIL BAKERYW/FS <br />AN PUM (DBA HOLE IN ONE DONUT SHOP) <br /> <br />OVERALL RATING - GOOD <br /> <br />Owner Code: <br /> <br />Firm Location Address: <br />Firm Mailing Address: <br />Firm Type!Description: <br />Firm Owner; <br /> <br />On February 20, 2006, HOLE IN ONE DONUT SHOP # 0003 was inspected by KEVIN CARROLL, a.representative of the Florida <br />Department of Agriculture and Consumer Services and the Overall Sanitation R.ating was GOOD, ~, <br /> <br />PERMIT APPLICATION INFORMATION <br /> <br />Permit Application Information was verified with management. <br /> <br />FIELD TESTS <br /> <br />The following field tests were conducted with the results as indicated: <br /> <br />Legal illegal <br /> <br />LOTS EXAMINED FOR INFESTATION <br />LABELING <br />TEMPERATURE - COLD <br /> <br />4 <br />5 <br />5 <br /> <br />o <br />o <br />o <br /> <br />VIOLATIONS <br /> <br />(*) indicates a critical violation, <br /> <br />. The following violations were noted: <br /> <br />BAKERY DEPARTMENT <br />14 Food contact surface Gfutensil/equipment is not designed, installed, made of safe materials, corrosion resistant, nonabsorbent <br />or smooth and easily cleanable, BARE WOOD SHELF/CART UNDER BAKER'S TABLE. <br />RETAIL AREA <br />14 Food contact surface of utensil/equipment is not designed, installed, made of safe materials, corrosion resistant, nonabsorbent <br />or smooth and easily cleanable. BARE WOODEN SHELF UNDER DONUT CASE, <br />15 N on-food contact surface of utensil/equipment is not designed, installed or constructed of durable safe materials, corrosion <br />resistant, nonabsorbent or smooth and easily cleanable. C02 BOTTLE NOT SECURED, <br />5 Thermometer in hot or cold storage unit is not provided or when present is not conspicuous. IN MILK SELF SERVICE <br />CASE. <br /> <br />DACS 14205 Rev, 10/96 <br /> <br />. Pagelof2 <br /> <br />EIS003000 . <br />