Petitioner: DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS
Respondent: QUIZNO`S SUBS
Judges: DANIEL MANRY
Agency: Department of Business and Professional Regulation
Locations: Longwood, Florida
Filed: Jul. 20, 2007
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Friday, July 27, 2007.
Latest Update: Jan. 03, 2025
Jul 20 2007 12:40
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STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DIVISION OF HOTELS AND RESTAURANTS
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
Petitioner,
VE,
\ License No. 6903817
QUIZNO'S SURE e ent Licanse Type 2010
spondenit. Case No. 2008066017
i
ADMINISTRATIVE COMPLAINT :
The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND
RESTAURANTS, ('Petitioner’), files this Administrative Complaint against QUIZNO'S SUBS, (‘Respondent’),
and says:
1. Petitioner is the state agency charged with regulating the operation of public lodging establishments and
public food service establishments, pursuant to Section 20.165 and Chapter 509, Florida Statutes.
2. Respondent is, and has been at all times material herete, licensed by or subject to the jurisdiction of the
Division of Hotels and Restaurants. The respondent's business address of record is 150-180 W. LAKE
MARY BLVD, SANFORD, FLORIDA 32773,The mailing address of record is QUIZNO'S SUBS, at PO
BOX 916555, LONGWOOD, FLORIDA 32791-6555, .
3. Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, revealed violations
of the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governing
operation of the establishment. The violation(s) found and applicable law are described in Exhibit “A,”
attached hereto and incorporated herein by reference. Inspection documents are attached as Exhibit "B",
incorporated herein by reference.
WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following
penalties: administrative fine not to exceed'$1,000 per offense; mandatory attendance at Respondent's
axpense at an educational program sponsored by the Department's Hospitality Education Program;
suspension, revocation, or refusal of 2 licanse issued pursuant to this Chapter, and/or any other relief
authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto.
Signed December 05, 2006 «
Valerie Freeman, District Manager
By delegation of the Director, or designee
Division of Hotels & Restaurants
Department of Business & Professional Regulation
COUNSEL FOR THE DEPARTMENT:
Charles F, Tunnicliff, Lead Attorney
Florida Bar No. 0153831 .
Department of Business & Professional Regulation
1940 North Monroe Street
Tallahassee, Florida 32399-1007
CERTIFICATE OF SERVICE .
BY CERTIFIED U.S. MAIL, ARTICLE NUMBER:
t HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been
hand served by me on this, day of , 2008.
Recelved by:
Inspectors Signatura Operators Signature
Title Title
Case Number, 2006066017 District Number: 04
License Nurnber: 8603817 2010 Form ravited 10.10.06
QUIZNO'S 3U85
Jul 20 2007
arf2e/28e7 12:36 8584146749 DEPR OGA PAGE 45/14
Exhibit A
License Number: 6903817 .
License Type: 2010 PERMANENT FOOD SERVICE
Case Number: 2006086017
FC as cited herein references specific provisions of the Food Gade, Recommendations of the United States
Public Health Service, Food and Drvg Administration, incorporated by Chapter 41C, Florida Administrative
Code. NFPA as cited herein references specific provisions of the National Fire Protection Association Life
Safety Code, incorporated by reference at Chapter 4A-J, Fire Prevention, General Provisions, Florida
Administrative Gode, and 610-1.004(5}, Florida Administrative Goda.
* denotes a critical violation.
It is alleged that on August 11, 2006, September 19, 2006, November 14, 2008 the licensee was in violation of
Florida Statute 509(FS) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrative
Code (FAC), in the following particulars. Copy(s) of the reporl{s) for the above referenced inspection(s) are
attached hereto and Incorporated by reference as Exhibit B. 7
* 41, 53A-19-1 810-4,023(1) FAC: (1) ALL MANAGERS WHO ARE RESPONSIBLE FOR THE
STORAGE, PREPARATION, DISPLAY, AND SERVING OF FOODS TO THE PUBLIC SHALL HAVE PASSED
A CERTIFICATION TEST APPROVED BY THE DIVISION DEMONSTRATING A BASIG KNOWLEDGE OF
FOOD PROTECTION PRACTICES AS ADOPTED IN THIS CHAPTER. THOSE MANAGERS WHO
SUCCESSFULLY PASS AN APPROVED CERTIFICATION EXAMINATION SHALL BE ISSUED A
CERTIFICATE BY THE CERTIFYING ORGANIZATION, WHICH 5 VALID FOR A PERIOD OF FIVE YEARS
FROM THE DATE OF ISSUANCE.
THE FOOD MANAGER CERTIFICATION WAS EXPIRED.
2,54-13-1 609.213(1) FS: (1) EVERY PUBLIC FOOD SERVICE ESTABLISHMENT SHALL POST A
SIGN WHICH ILLUSTRATES AND DESCRIBES THE REIMLICH MANEUVER PROCEDURE FOR
RENDERING EMERGENGY FIRST AID TO A CHOKING VICTIM IN A CONSPICUOUS PLACE IN THE
ESTABLISHMENT ACCESSIBLE TO EMPLOYEES’.
THERE WAS NO HEIMLICH MANEUVER SIGN POSTED.
* 3.30-02-1 5-203.44FC: BACKFLOW PREVENTION DEVICE, WHEN REQUIRED. A PLUMBING
SYSTEM SHALL BE INSTALLED TO PRECLUDE BACKFLOW OF A SOLID, LIQUID, OR GAS °
CONTAMINANT INTO THE WATER SUPPLY SYSTEM AT EACH POINT OF USE AT THE FOOD
ESTABLISHMENT, INCLUDING ON A HOSE BIBB iF A HOSE IS ATTACHED OR ON A HOSE BIBB IF A
HOSE IS NOT ATTAGHED AND BACKFLOW PREVENTION IS REQUIRED BY LAW, BY: (A) PROVIDING
AN AIR GAP AS SPECIFIED UNDER SECTION 5-202.13; OR (B} INSTALLING AN APPROVED BACKFLOW
PREVENTION DEVICE AS SPECIFIED UNDER SECTION 5-202. 74.
THERE WAS NO VACUUM BREAKER AT THE MOP SINK HOSE BIBB.
* 4,45-40-1 61C-1.004(9)(B) FAC AND NFPA 10, 6.3.4: A STANDARD STATE APPROVED SERVICE
TAG SHALL BE ATTACHED TO EACH EXTINGUISHER AND A PERSON HOLDING A VALID STATE -
PERMIT ISSUED BY THE STATE FIRE MARSHAL SHALL RECHARGE OR INSPECT THE EXTINGUISHER
AND SHALL PREPARE THE TAG TO INCLUDE THE INFORMATION REQUIRED BY RULE 4A-21.241, FAC,
HEREIN ADOPTED BY REFERENCE. MAINTENANCE RECORDKEEPING. EACH FIRE EXTINGUISHER
SHALL HAVE A TAG OR LABEL SECURELY ATTACHED THAT INDICATES THE MONTH AND YEAR THE
MAINTENANCE WAS PERFORMED AND THAT IDENTIFIES THE PERSON PERFORMING THE SERVICE.
THE PORTABLE FIRE EXTINGUISHER HAD NO APPROVED INSPECTION TAG.
* denotes critical violation District: 04
Case Number: 2006066017 License Type: 2010
License Number: 6903817 File Numbar; 176462
QUIZNO'S SUBS
Jul 20 200? 12:41
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STATE OF FLORIDA
— ros EXHIBIT B
CALL BACK TNEPECTION REPORT
LRGAL NOTICE
Faljure to comply with thts Notice iny initiate an adeninietrative compiahit that may reamit In suapension of revocation of your beenes und fines.
en038i7 SEAT
Pena 02:22 PM —_ —_
SANFORD FOODS, LLC
ieee niber
QUIENO'S SUBS
Bushes Ame
co) op/ie/anee.
imap
Fidniber of Unk ia bate
150-160 W, LAKE MARY BLVD SANFORD, 22773
following Heni{s) have beer recommended for Adminktrative Complaint:
y SAL So
bie'ved exind Food Manager Certification, This violation must be corrected by i 14/14/06, Stewen Danaher tea'not renew food manager certificato,
ft BEd :
Heimiich maneuver sion ported.
1-14-06
arbane pT Rachybi i Signature:
om 5 sin " s For further leformetion plense bontact:
Raclptatit: Ackeazks Cot wach et
Tite PIC Sankation wnd Safety Speciallat 400 W, Hoblnsen St B02N
, Oriande, Rorkts 32001
Phone: 407 936 7B49 50487-15995
OSPR Pot HR Haca-fx5
Jul 20 200? 12:41
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DEPR OGA PAGE a7/ld
Pago?
(conse Number
. STATE OF FLORIDA SEAT 903817
DEPARTMENT OF BUSINESS AND PROFESSIONAL
DIVISION OF HOTELS AND REXT, BIT B Os
Wewunypforida.com/dbgr QUIgn os
Inopention Ly
GALL BACK INSPECTION REPORT .
LEGAL ROTiC# 14/14/06 02:32 PM
Faure te comply with this Notice ntay initiate ar adnlnlerrative complaint that may result In suspenalon or revocation of your Beate and fires. °
yn Roflcrevig Rbedri(a) ares it compeance:
nt 41 :
fire extingutsher mt property mourned mt heinat 4 Inches off the floor and the top no higher than 5 feet off the floor,
Hon: 3704-1
Ming tiie mtbkehng iA dining mene,
> SEY
ved floor and wall junctures net coved, Cove mokfiag, missing undar prep eink.
on: 32-00-1.
uncovered receptacle in women's bathroom. *
thon: 22-17-1
ved sailed rench-In colar gaakats,
LHI
hmerved pitdattafacals on cold holding unit for sandwiches ih poor repair.
Jul 20 200? 12:41
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Page 1
STATE OF FLORIDA,
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DIVISION OF HOTELS AND RESTAURANTS
wew. myforide.comidbpr
CALLBACK INSPECTION REPORT Evin
LEGAL NOTICE By T
Frillurn to comply with this Notices may inlet an administrative complaint thet may result In suspension or revocation of your leone and fines.
09/1 " Waring 6503817 SEAT.
Callback Inspection Date and Time Inspection Reason License Number
SANFORD FOODS, LLC Time Extended
Owner Name \ Area Gotie’Telaphone Number
_ QUIZNO'S SUBS .
Business Name Inspectlon Result
43 11/44/2006 03:00 AM " Bet2/06
Number of Units Requested Calback Date/Time Initlal Waring Bate
160-160 W. LAKE MARY BLVD SANFORD, 92773
Address / City / Stata / 2ip/ ete.
Comments
Time extension for Managers Certified Facd Managers
ffha fallowing hem(a) have been recommended for Administrative Complaint:
Nation: 45-404
‘ortable fira extinguisher with no approved inspection tag. ‘
This violation must be corrected by : 9772/06.
Wiolafion: 45-391
Portable fire extinguisher not properly mounted at least 4 inches off the floor ond the top no highar than § feet off the floor.
inlation: 32-10-41
9/19/06 \ a
, Inspector Signature
me Recipient: sane argue en For further wwormaton ploese contact
Kathryn Mant!
Title PIG Sanitation and Safety Spacialist 400 W. Robinsan
Phone: 407 9367848 - St 802N Orlando, Florida 32801
850-487-1395
DBPR Form HR $022-D05
Jul 20 2007 12:42
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Page?
STATE OF FLORIDA License Number
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SEAT §909817
DIVISION OF HOTELS AND RESTAURANTS
Business Name
ww. riyfienida.com/dbpr QUIZNO'S SUBS
Inspection Date
LBACK REPOR,
CAL INSPECTION T 05/19/08 11:59 AM
LEGAL NOTICE
Eallure to comply with thie Notics may initiate an administrative complaint that may result suepension or revocation of your icanse and fines.
bsatved uncavared receplacis in woren's bathroom.
lation: 30-02-41
acuum breaker mising al foae Sibb at mop sink.
latory; 28-174
Ybaerved soiled neach-in cooler gaskets,
followitig item(s) have bean recommended for Time Extonglon:
jolation: 534-19-1
baervad expired Food Manager Corification. This violation munt be corrected By ¢ 1114706,
noletion: S1-13+1
io Haimifch maneuver sign ported.
olatlon: 2201-4
jing tile missing in dining room.
Tolation: Ja-06-7
bearved floor and wall junctures nat coved. Cova molding missing under prep sink.
lolation: 14-26-17
bserved gaskate/senls on cold holding unit for eundwiches in poor repair,
a following item(s) are In compliance:
elation: $1-18-4
9 copy of latent Inspection report
ovation: 36-151
bearved food debris accurulsied on floor under equipment,
iglation: 23-02-1 :
beerved build-up of grease on conveyor oven filters.
folation: 22-194
OBPR Form HR 5022005
Jul 20 2007 12:42
arf2e/28e7 12:36 8584146749 DEPR OGA PAGE 1@/1d4
Page 3
STATE OF FLORIDA License Number
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SEAT 8903817
DIVISION OF HOTELS AND RESTAURANTS
Buginess Name
Wweewramfiariia.comidbpr QUINO'S SUBS
CALLBACK INSPECTION REPORT napection Date
LEGAL NOTICE 09/18/06 11:89 AM
Failure to comply with thie Notice may Initiate mn scministnsive complaint that may nasult In auspansion ar revocadan of your license and Anes.
bserved upper Interior of mlorwave aniled.
polation: 1-12-41
fal wiping cloth not stored in sanitizing xolutlon between Uses,
lation: 21-051
baerved soiled dry wiping cloth In wee,
folation: 17O7=1
jo chamlcal teat Ki provided when using chemical sanitizer at threeecompartment ainkwareweshing machine. EX Hl B j
folation: 14-37-4 ‘ r B
bserved grey culling hoard groaved/altted and ne lenger clearable.
elation: 42B-D74
bserved an open beverage contalner on # food preparation table or evedherdt la clean aguipmentiutenslis.
Nation: OBA-28-1
basrved box of lattice stored on waik in cooler floor.
vation: OF-08-7
io thermometer provided to measure temperntura of food product,
OBPR Form HR S022-005
Jul 20 2007 12:42
arf2e/28e7 12:36 8584146749 DEPR OGA PAGE 11/14
STATE OF FLORIDA rose" EXHIBIT B
DEPARTMENT GF BUSINESS AND PROFESSIONAL REGULATION
PIVISION OF HOTELS ANP RESTAURANTS
wew.myficrida.com/dbpr
FOOD SERVICE INSPECTION REPORT :
: LEGAL NOTICE
Failure to comply with this Notice may Initlate an administrative complaint that may feault in auspansion or revocation of your Iiesrise and fines,
OBA06 03:07 PM Routine 8g) SEAT
Inspection Daté and Time Inspection Reason License Nurnber
SANFORD FOODS, LLG WARNING:
Owner Name 407
QUIZNO'S SUBS voions in the operation of your establish rea Gode/Talophane Number
Business Nama tngpaction Rosa
48. 09/12/2006 08:00 AM ania?
Number of Units Callback Deta/Tine License Expiraiion
150-160 W, LAKE MARY BLVD SANFORD, 32773
Address / Citys Zip f ate,
ltam 03; Food Temparaturas tiem 53a: Cert, Food Managers ftam 20: Warewashing Sanitization Fire Extinguishers and Fire
Turkey, walk i cooler, 21 Degroes F. “Manager Name: Stevan Danaher | Sanitizer Type: Quatemary
Pooy one aoc rr hal a Certification Date: 1/23/01 Certified | Ammonium found at concentration
Maarhatia, stanm tablestaln mate, 187 by: National Raglsiry of Food Safety | of 200 PPM.
Degrees F,
Tune salad, ragch In cooler, 43 Degrees F. Professionals
chit hot hold, 175 eprom F,
Chicken noodle, hot hald, 174 Degrees F
NOTE: Reme marked above with an asterisk {*) Indicate a violation
Inspector's Comment:
Dniy Two amployees working at ime of inspection. Both are new. Manager has 60 days from hire date te gat them cerified with food handlers.
BHC with ATE foode, gloves in use, chapter $09
Pleas fax copy of fire extinguisher retag bill and certified food manager card to 407 317 7839 attention Kathryn Mani. Include name of establishment.
fater Source: Municipality, Sewage: Municipal/Wiility, Employees tained by Serva SafeProvided Wab Site; www. myflorida.com/dbpr
Lacknowladiga recalpt of this Inspection form and comments,
08-11-08
Signature of Recipient Inspector Signature
Bete a 7
Recipient: Jesmine Argueta For further information please contact:
Title PIC Kathryn Mant
Sanitation and Safety Spactaitet 400 W, Robinson St
Phone: 407 936 7843 850-487-1395
STATUS SOURCE PHF TEMPERATURE CONTROL
*O1a Approved source "038 Cold food at proper temperatures during storage,
*O1b Wholesome, sound condition display, service,
— 7
*O2-13 Consumer advisory on rawhmderesoked animel
06 Eolentlally hazardous ode properly thawed
Violations tharked wilh an zsierigk areeritieml violations, tame marked IN are in compliance, Kems Markod OUT are \olations. Specific dotaile of viniatlon ata [rad on
DePR Form HR 5022416
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Page 2
Li
STATE OF FLORIDA comer oe 8817
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Business Nama
DIVISION OF HOTELS AND RESTAURANTS ,
www.myflorde.comidepr QUIZNO'S SUBS r
: i fon Date
FOOD SERVICE INSPECTION REPORT nspection ALP
LEGAL NOTICE /; T B
Falture to comply with this Notice may inttlate an adrninistrative complaint that may result in suspension or revocation of your license and fines.
STATUS PHF TEMPERATURE CONTROL STATUS GARBAGE AND REFUSE DISFOSAL
In 07 Unwrapped or potentially hazardous food not reserved 33 Containers covered, adequate number, insect and rodent;
ptoot, emptied at proper intervals, fear
Out rife Food protection during storage, praparation, display,
service, transportation 34 Outside storage area dean, anclosure properly
constucted
In MDAb Gross-contamination, aquinment, personnel, storage
NP ECT AND BODEN] CONTRO:
"353 Presence of Insecte/rodents, Animais prohibited
Ings protected fram ingerts, rodent proof
10 Is uae food dispensing utensils properly stored STATUS FLOORS, WALLS, CEILINGS
STATUS PERSONNEL, Out 36 Floors properly constructed, clean, diwined, saved
ih 711 Personnel with infections restricted: Out a7 Walls, callings, and attached equipment, constructed,
la *#2a Hands washed and clean, good hygienic practicas clean
(observed), alternative operating plan |__ _ [38 Lighting provided as required. Fisturae shialted
Qut *12b Proper hygiente practices, eating/drinking/emoking eee Rooms and equipment - vented as faquirad
evidence) OTHERAREAS
| ______|taClpanciothes, hairresteaints 40 Employee lockers provided and used, clean
FOOD EQUIPMENT ANO UTENSILS in *4 1a Toxic tems property storad
Out 14 Food contact surfaces destgned, constructed, tn 4th Toxic ema labeled and used property”
42 Premises maintained, free of iter, unnecessary articles,
Ciaaning and maintenance équlpment aroparly stored.
Kitchen restricted to authorized personnel
maintained, installed, locates L
"16 Diahwashing facilities designed, constructed, operated 43 Complete separation from llving/sleaping aras, lawned
1. Wash 2, Ringa 3, Sanitize :
maintained, Installed, located
15 Non-food contact surfaces designed, constructed,
[dag Clean and solled linen segregated and properly sored
17 Thermometers, gauges, testis provided =| STATUS | SAFETY,
48 Precflushad, scraped, soaked 45 Fire extinguishers = proper arid sufficient
18 Wash, rinse water clean, proper temperature °46 Exiting system - adequate, good repair
208 Sanitizing concentration "a7 Electrical wiring - adequate, goad repair
|
20h Santizingiemperature "48 Gas appliances - properly installed, maintained
Iai wining cfotns clean, usad properly, stored | _49 Flarnenable/combustibie materials. properly stored
GENERAL
50 Curent ticanss property displayed
24 Storageyhandling of claan equipment, utensils Out 54 Other conditions aanitary and safe operation
+82 Fatse/misteading stetaments published or advertised
| __]25 Serviga tams properly stored, handled, dispansed relating to fond/beverage
[ [26 Singla service erties notrewsed
STATUS t53b Employée training validallon
g sed art :
29 Flurbing instahed and mainteined 56 Copy of Chapter 609, Florida Statutes, available
+30 Cross-connection, back siphonage, backflow STATUS GENERAL
[ee Hospitality Education Program Infomation provided
34 Tollel and handwashing facilities, number, convenient,
Gasianed, Installed Total Number of COS Violatlons:
"29 Restrooms with salf-cissing doors, fixtures operate
properly, fachity clean, suppilled with handspap, disposable Total Number of Repeat Violations:
anil
i]
towels or hand drying devices, asia, covered waste
Vioiations marked with an aaterisk are eritieal violations, Name marked IN are in complience. name Marked OUT are violations. Spacific datalls of violation are listed on
subsequent pages, {tem marked N/A are Not Applicable, Items Marked a3 NYG are Not Observad, and were not balng conduciad at the tine of inspection,
DOPR Fann HR 8022-015
Jul 20 2007 12:43
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Page 3
STATE OF FLORIDA aaa ainiton 7
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Business Nama
DIVISION GF HOTELS AND RESTAURANTS QUIZNO'S SUBS
wew.nyflorida.convdbpr F me b
nepaction Date
FOOD SERVICE INSPECTION REPORT ress Da/71/08 03:07 PM
LEGAL NOTICE
Fallura to comply with this Notles may Initate an adiniifetrative complaint that may reeuit In suspension or revocation of EXATEIT B
Warning(s):
S3A-19-1:Observed explrad Food Manager Cantiication. This violation must be cormactad by : 11/14/98.
§1-18-4:No copy of latest inapaction report.
30-02-1:Vecuum breaker enising at hore Bibb at mop lnk.
45-40-1:Ponable fire exiinguighar with no approved inspection ing.
This violation must be cormactad by > B/12/06.
45.39. 1;Portable fire axtinguleher not property mounted at lonet 4 Inches aff the floor and tha tap na higher then G fect off the floor.
O8A-26-1:Obaerved box of lettuce stored on walk in cooler floor.
14-37-1 ‘Dbaerved grey culting board greqvad/pitted and no longer cleanabla,
74.361 :Cbserved gaskets/seals on cold holding unit far sandwiches fn poor repair.
96-15-1: Observed food debris scoumleted et fear unday equipment.
24-031: bserved polled dry wiping ctoih in use.
24-12-17: Wet wiping eteth not stored In sanitizing solution hatwaen ps8,
23-03-1:Observed bulid-up of grease on conveyor oven filters.
22.79-1 Observed uppar ininrior of microwave soled.
36-08-1:Obaerved floor snd wall Junctures nat coved, Cove mokding miseing undé prapaink.
37-01-1:Calling tite missing in dining rode.
22-17-1;0bsetved rolled reach-In coolar gaakere,
4128-07-1;Observed an open beverage comalner on a food preparation table or overmnest to clean equipmenvulensig,
S1-13-4:No Heliniieh maneuver sign posted,
sat: bsorved uncovdred Mceptacie In women's bathroom.
O5-08-1:No therorreler provided to maasunt temperalure of food product,
DEPR Form HR 5022415
Jul 20 2007 12:43
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; Page 4
License Number
STATE OF FLORIDA SEAT 6003817
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION p./.:a9e Nama
DIVISION GF HOTELS AND RESTAURANTS QUIZNO’S SUBS
www. nnyforide.com/dbpr
FOOD SERVICE INSPECTION REPORT Inspection Pe
Vice SPECT 08/11/96 04:07 PM
Fatkwe t comply with this Notes may Inflate an actministrative complaint that may result In suspension or ravocation of your license and fines,
17407-7:-No chemical test kR provided when uaing chemlce! sanitizer at three-compartmant sinkwarawashing machine.
EXHIBIT B
DaPR Form HR 8022-015
Docket for Case No: 07-003373