Sep 10 2007 13:5 aa/le/eaey 13:45 8584146749 DEPR OGA ° ° PAGE @3/ 14 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, vs. SIX TABLES AT PENINSULWPALMTER —ticense anette Respondent Gase No, 2007028878 ADMINISTRATIVE COMPLAINT The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (“Petitioner”), files this Administrative Complaint againet SIX TABLES AT PENINSULA/PALM TER, (“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 atall times material herato, licansed by or subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record Is 2987 BEACH BLVD, GULF PORT, FLORIDA 33707. The mailing address of record is SIX TABLES AT PENINSULA/P4LM TER, at 2937 BEACH BLVD, GULF PORT. FLORIDA 33707, 3. Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, revealed violations of the provisions of Chapter 509, Florida Statutes, and for the rules promulgated thereto governing operation of the establishment, ‘The viglation{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 fallowing penalties: administrative fine not to exceed $7,000 per offense; mandatory attendance at Respondent's expense at an educational program sponsored by the Department's Hospitality Education Program, suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any ather relief authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto. Signed May 16, 2007 WOistrict Manager By delegation of the Director, Division of Hotels & Restaurants Department of Business & Professional Regulation designee COUNSEL FOR THE DEPARTMENT: Charles F. Tunnicliff, Lead Attorney Florida Bar No..0153831 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32398-1007 CERTIFIC. QE SERVI BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: | HERESY CERTIFY that a true and correct copy of the foragoing ADMINISTRATIVE COMBLAINT has been 07. hand served by me on this day of , Certified Article Number Received by: inspector's Signature Operator's Signature i pp Title Title ber 2007028878 District Number: 03 senile Hi Farm ravited 10.10.05 Uieanae Number: 6215437 2010 51x TABLES AY PENINSULA/PALM TER Sep 10 200? 13:51 aa/le/eaey 13:45 8584146749 : DEPR OGA PAGE Exhibit A License Number: 6215437 License Type: 2010 PERMANENT FOOD SERVICE Case Number; 2007028878 FC as cited herein references specific provisions of the Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, incorporated by Chapter 616, Florida Administrative Code. NFPA as cited herein references specific provisions of the National Fire Protection Assaciation Life Safety Code, incorporated by reference at Chapter 4-3, Fire Fravention, General Provisions, Florda Administrative Code, and 61C-1.004(5), Florida Administrative Gade. * denotes a critical violation. itis alleged that an April 2, 2007, May 8, 2007 the licensee was in violation of Florida Statute §09(F'S) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC), in the following particulars, Copy(s) of the raport(s) for the above referenced inspection(s) are attached hereto and incorporated by referance as Exhibit B, * 4.02431 3-603.14 FC: CONSUMPTION OF ANIMAL FOODS THAT ARE RAW, UNDERCOOKED, OR NOT OTHERWISE PROCESSED TO ELIMINATE PATHOGENS. (A) EXCEPT AS SPECIFIED IN PARAGRAPH 3-401.11(C) AND SUBPARAGRAPH 3-401.11(D)(3) AND UNDER PARAGRAPH 3-801.11(C), IF AN ANIMAL FOOD SUCH AS BEEF, EGGS, FISH, LAMB, MILK, PORK, POULTRY, OR SHELLFISH IS SERVER OR SOLD RAW, UNDERCOOKED, OR WITHOUT OTHERWISE SEING PROCESSED TO ELIMINATE PATHOGENS, EITHER IN READY-TO-EAT FORM OR AS AN INGREDIENT IN ANOTHER READY-TO-EAT FOOD, THE PERMIT HOLDER SHALL INFORM CONSUMERS OF THE SIGNIFICANTLY WRITTEN MEANS. (B) DISCLOSURE SHALL {NCLUDE: (1) A DESCRIPTION OF THE ANIMAL-DERIVED FOODS, SUCH AS "OYSTERS ON THE HALF SHELL (RAW OYSTERS)," "RAW-EGG CAESAR SALAD," AND "HAMBURGERS (CAN BE COOKED TO ORDER);” OR (2) IDENTIFICA OF THE ANIMAL-DERIVED FOODS BY ASTERISKING THEM TO A FOOTNOTE THAT STATES THAT THE ITEMS ARE SERVED RAW OR UNDERCOOKED, OR CONTAIN (OR MAY CONTAIN} RAW OR UNDERCOQOKED INGREDIENTS. (C) REMINDER SHALL INCLUDE ASTERISKING THE ANIMAL-DERIVED FOODS REQUIRING DISCLOSURE TO AFOOTNOTE THAT STATES: (1) REGARDING THE SAFETY OF THESE ITEMS, WRITTEN INFORMATION IS AVAILABLE UPON REQUEST, (2) CONSUMING RAW OR UNDERCOOKED MEATS, POULTRY, SEAFOOD, SHELLFISH, OR EGGS MAY INCREASE YOUR RISK OF FOODBORNE ILLNESS, OR (3) CONSUMING RAW OR UNDERCOOKED MEATS, POULTRY, SEAFOOD, SHELLFISH, OR EGGS MAY INGREASE YOUR RISK OF FOODBORNE ILLNESS, ESPECIALLY (F YOU HAVE CERTAIN MEDICAL CONDITIONS. CONSUMER ADVISORY ON RAWIUNDERGOOKED ANIMAL PRODUCTS; BEEF AND EGGS OFFERED UNDERGOOKED. 2.15-28-1 NFPAS6, 6.2.3.3: GREASE FILTERS SHALI. BE ARRANGED SO THAT ALL EXHAUST AIR SHALL PASS THROUGH THE GREASE FILTERS. ; HOOD FILTERS ARE NOT TIGHT-FITTING AND FIRMLY HELD IN PLACE-LEAVING OPEN SPACES OVER STOVE. * denotes critical violation District: 03 Case Number: 2007028878 License Type: 2019 File Number: 188175 License Number, 6215437 SIX TABLES AT PENINSULA/PALM TER ad/14 Sep 10 200? 13:51 aa/le/eaey 13:45 8584146 : 749 DEPR OGA PAGE Exhibit A OF CONTAMINATION. (B) SINGLE-SERVICE AND SINGLE-USE ARTICLES THAT ARE PACKAGED OR IN AFACILITY SUCH AS A GABINET MAY BE STORED IN A LOCKER ROOM. OBSERVED SINGLE SERVICE ARTIGLES STORED WITHOUT PROTECTION FROM CONTAMINATION, ITEMS ON ICE MAGHINE NOT INVERTED. * 4A 32-16-1 6-301.12 FCu HAND DRYING PROVISION. EACH HANOWASHING LAVATORY OR GROUP OF ADJACENT LAVATORIES SHALL BE PROVIDED WITH: (A) INDIVIDUAL, DISPOSABLE TOWELS; (8) A CONTINUOUS TOWEL SYSTEM THAT SUPPLIES THE USER WITH A CLEAN TOWEL, OR (C) AHEATED-AIR HAND DRYING DEVICE. HANDWASH SINK LACKING PROPER HAND DRYING PROVISIONS, HANDWASH SINK AT BAR. * 4B. 32-18-1 6-304.14 FC AND 610-1 .004(2)(C) FAC: HANDWASHING SIGNAGE. A SIGN oR POSTER THAT NOTIFIED FOOD EMPLOYEES’ TO WASH THEIR HANDS SHALL BE POSTED AT ALL HANDWASHING LAVATORIES USED BY FOOD EMPLOYEES’ AND SHALL BE CLEARLY VISIBLE TO FOOD EMPLOYEES’, NO HANDWASHING SIGN PROVIDED ATA HANDSINK USED BY FOOD EMPLOYEES, HANDWASH SINK AT BAR. 4592-17-41 6301.11 FC: HANDWASHING GLEANSER, AVAILABILITY. EACH HANDWASHING LAVATORY OR GROUP OF 2 ADJACENT LAVATORIES SHALL SE PROVIDED WITH A SUPPLY OF HAND CLEANING LIQUID, POWDER, OR BAR SOAP. HANDWASHING CLEANSER LACKING AT HANDWASHING LAVATORY, HANDWASH SINK AT BAR, * 6A 45-30-1 NPFA 96, 11.2.1 AN INSPECTION AND SERVICING OF THE FIRE-EXTINGUISHING SYSTEM AND LISTEO EXHAUST HOODS CONTAINING A CONSTANT OR FIRE-ACTUATED WATER SYSTEM SHALL BE MADE AT LEAST EVERY § MONTHS BY PROPERLY TRAINED AND QUALIFIED PERSONS. HOOD SUPPRESSION SYSTEM MISSING TAG. * 6B. 45-36-1 NFPA 1, 13.1.5 AND 10.2.2:: DETAILED RECORDS DOCUMENTING ALL SYSTEMS AND EQUIPMENT TESTING AND MAINTENANCE SHALL BE KEPT BY THE PROPERTY OWNER AND SHALL BE MADE AVAILABLE UPON REQUEST FOR REVIEW BY THE AHJ, THE AHJ SHALL BE PERMITTED TO REQUIRE THE OWNER, OPERATOR, OR OCCUPANT TO PROVIDE TESTS OR TEST REPORTS, WITHOUT EXPENSE TO THE AHJ, AS PROOF OF COMPLIANCE WITH THE INTENT OF THIS CODE. NO CURRENT HOOD FIRE SUPPRESSION SYSTEM INSPECTION REPORT AVAILABLE. * 7,45-40-1 610-1,004(9)(B) FAG AND NEPA 10,6.3.4¢ ASTANDARD STATE APPROVED SERVICE TAG SHALL BE ATTACHED TO EACH EXTINGUISHER AND A PERSON HOLDING 4 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, * denotes critical violation . ; District 04 Case Number: 2007028878 License Type: 2010 File Number: 188176 License Number: 6215437 SIX TABLES AT PENINSULA/PALM TER a5/14 Sep 10 2007 : 89/18/2887 13:45 8584146749 DEPR OGA P nsis2 Ee r GE 6/14 exhibit A 61C-1.004(11) FAC::) ELECTRICAL WIRING. TO PREVENT FIRE OR INJURY, DEFECTIVE ELECTRICAL WIRING SHALL BE REPLACED AND WIRING SHALL BE KEPT IN GOOD HALL BE USED EXCEPT DURING CLEANING, MAINTENANCE AND REPAIR. NO EXTENSION CORDS $ OTHER TEMPORARY ACTIVITIES. ONLY A WALL SWITCH OR APPROVED PULL CORD SHALL BE PERMITTED IN BATHROOMS, IN ACCORDANCE WITH THE PROVISIONS OF NFPA 70, THE NATIONAL F STATE FIRE MARSHAL IN CHAPTER 44-3, ELECTRICAL CODE, AS ADOPTED BY THE DIVISION O FAC, UNIFORM FIRE SAFETY RULES AND STANDARDS, SUFFICIENT ELECTRICAL OUTLETS SHALL * 8, 47-061 BE PROVIDED. ; A, OBSERVED EXTENSION CORD IN USE FOR NON-TEMPORARY PERIOD; NEAR GOOKS LINE AND PREP COOLER. B, OBSERVED A SPLITTER/MULTI-PLUG ADAPTER IN USE; IN USE BY COOKS LINE AND PREP COOLER. * denotes critical violation District: 03 License Type: 2010 Case Number: 2007028878 ° File Number, 188175 License Number, 6215437 SIX TABLES AT PENINSULA/PALM TER aa/le/eaey 13:45 Foliuns ta comply with this Netles may Initiate an sdininiatretive complaint that may 207 08: Inapaction Date and Tine MAISON BORDEAUX INC Owner Name TABLE Business Name 44 ENINS! Al R Number of Units 2937 BEACH BLVD GULF PORT, 33707 ftom 20: Warewashing Sanitization Sanitizer Type: Chlorine found of congentration of 56 PPM: dish Atdrese / City / State / zip / ste. Beet, wiih In cooler, 42 DepraabF, Ditty products, walk in cocker, Sa Degen: Fr. ‘Seafoon, moweh In copier, 4 Degrees F, Baty products, ramch hover, 41 Deprers F. Epos, reach in qwolat, 42 Dagrits F, inspector's Comments Lmyflonda.camabpr 8584146749 fer 03: Food Temperatures lam 53a: Cert, Food Manageré MOTE: Items marked above with an anterisk (") Indicate a violation iofe- gas how water heater in closet ra in kitchen: 199,900 Sep 10 2007 13:52 DEPR OGA STATE OF FLORIDA wew myfignida convdber FOOD SERVICE INSPECTION REPORT LEGAL NOTICE iid Thepectian Raason . WARNING: thy ' Inspection Result 06/04/2007 O00 AM, Callback Date/Time machine, sink. bty, 100 gallans Please fax aff reports and centified food manager & employee traitting Info to 813-356-1613 atin: Stacy Nymark, | acknowledge receipt of thls Inapection form and comments, Signature of Recipient i Inspector Signature tact: Karen Chapman For further information please contact: Stacy Nymark Spnitntion & Safety Specialist 3728 W Grace St, 520 850-487-1395 04-02-07 Date Raelpiant: Tite Phone: DPE fom HR S022.076 727-348-8800 Sanitizer Type: Not Set Up found et | concentatian of 0 PPM,; 3-comp PAGE EXHIBIT Bago: DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS result in suspension of revocstion of your Reanise and fines. 218437 EAT License Numpar 7273469800, Area GoawTelephone Number O1-FEB-D8 Lioenee Expiralion Itam 45: Fire éxtinguishers and Fire ng AcChags K yp Fle Exctinaureher, toured at knahen hans cérifienton dare of 08 A Heed Supp reseron (ype fire Exinceienar, found Inet Kitchen hes acerifeslon dete of ae A Gling ABC type Fre Rbxtinguisher. dora vot away hee a cartlicatign fea oY DE Provided wab Site: a PHF TEMPERATURE CONTROL “Ota Approved spuree: P| “Oda Gold food at proper lamneratvras during storage, “Olb Wholesome, eound condition erty labeled, date marking arid ag/1a/ 2887 Falure Sut In Sep 10 2007 13:52 13:45 s584146749 DEPR OGA PAGE 8B/14 EXHIBITB oes . "STATE OF FLORIDA Heer at5437 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION gu singss Name DIVISION OF HOTELS, BNO Te TANTS BIX TABLES AT PENINSULA/PAL FOOD SERVICE INSPECTION REPORT inept Me NS nCE paMa/07 08:34 AN to comply with this Notice may inftlate an administrative complaint iat may remult In suapenwion OF revocation of your icarite and fines. PHF TEMPERATURE CONTROL Koga Food protection during storage, preparallon, display. lserviee, Transportation Sih Crogé-contamination, equipment, personnal, siorage nid ho a in | —_ ea ——| a wo — (starys_| _ _ L____| | — | J | jon on | [_srarus_| jou STATUS OTHER AREAS 40 Employee lockers provided and used, clea! fyib Toxie hams igbeled and used prop 4z Premlsat maintained, inde of litter, unnecessary artes. Cloaning and mainieriance equipment property etored, Kishen resided to authorized personnel quate, good TERAIL mablefcombustinle malarial "49 Flam §1_Oiher concitie 52 Falsadninleacing aatormants pubilahéd or advertiged relating to (pad/haverage 54 Florida Glaan indoor Air Act : 56 Automatic Gratuity Notice ining claths Gear, used properly, stored 24 Storage sanding of clean equipment, utensils 27 Water gource safe, hot and 21 Wi on | STATUS Violations marked with an ssledekt Bre erik gubseqverl pages. BPR Farm HR 51 ewan and waple water disposed prope +26 Sewag +34 Toilet and handwashing fgediities, number, Gonveniant, designed, Instelied =. Nee Rlestoams with selt-closing doors, fixtures operate property, facility clean, supplied with handaesp, dieposable towels or hand drying devises, tisaue, ovvered waste ‘Total Number of GOS Violations: “Totat Number of Rapwat Violations: pions, Specific detalie of veatation are listed on ompllanes. Nema Marka OUT are viol onductad al tha dime of tapection. eal violouions, Items marked fH are In 6 arved, and were Apt balng © {tens mevked NA are Not Applicable, [eta Marked 64 NIO fre Nol OOF 022-015 ag Sep 10 2007 13:53 1/2087 13:45 8584146749 DEPR OGA : EXHIBIT B : Ligeriae Number * STATE OF FLORIDA SEAT 6218437 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Businass Name DMSION OF worels. AND RESTAURANTS SIX TABLES AT PENINSLLA/PAL * Ingpection Dela FooD ea ar REPORT 04/02/07 08:34 AM : E Fallure to comply with thia Notice may Initiate an adhiinistrative complaint that may resultin suspeneion or ravocetion of yourlleanse and fires. Warning(#)! DBA-22-1:O bservad Improper herizorial separation of raw animal foods and ready-to-ebt foods; raw seafood stored over ATE product in wh hie fidge ne|r siove. 45.28: Hood Mters ara not tight-fiting and firmly held In place - leaving open spaced, appear one panel la missing aver stove, 24-10-TObserved atenalls stored In crevign between oquipmernt kalves stoted between prop cooler on cooks ling. 03-08-1-Obrarved extension cord i o#e for nontemporary period; near back door connecting tq waster oven Near hws. 416.03.1:Observed unlabeled aprsy bottle, on ahait near d-comp Bink. 454)-1;Porteble fire extinguisher with ne approved inspection Lig: ABS neat incks of dish by dish area. 22-2001 Observed buildup of site in the inwtor of ice machiog, 22-18 1:Obrerved interior af miicrewave soiled; whe microvave in prap area, 22-24-1Obeerved bulldup of slime on soda dlapensing Aozztes; soda holster at bar. 22-15-1:No handweahing oign provided at a handsink used by food employees: hws at bar. 32.16- Hand waeh pink Jecking proper hantdrylng provisions; nwa at ‘bar. gae17-t:Handwaching clearner lacking At handwashing lavatory; hws et bar, O1B-12-1:Obsarved shell eggs in ute or stoted with cracks oF broken enalis; on batlom rack In WiC, 080.28-1:Observed fond stored an oor: In WIC & on floor neat cleve, pasta. 71-06- -¥vet wiping cloths nol laundered deb; found on shelf ef cooks kine, 47-05-1-Obeorved a spliter/multi- plug edepter In use; In war by cooks jipe and prep cooler. A7-08-1: Observed exlenglon cond In uae for nonlemparnry paviad) near copks {ina and prop sooler. 48:36-1-Hoed suppression system missing tea; pull slation near dish machine. 02-13:Gonaumar advisery on rawunderopoked animal products; pearand eggt, 5q.08+1:Hotel and Restaurant lense ist property daplayed. 7506s -Observed sligle-service articles stored wilhaut proteation from eantam ination; tema on io machine rite Inverted. ropotly dete marked afer opening: chagree, meats, pasts held In RIG Oz-07-Observed processod resdyto-aat, potenttelly hezarpous food bald more hon 24 nowes fet ps alts on cooks lines Oz28-1:Warking containers af food famoved fom original container Dol ideriifieg by common seme; bute hem on shail next (o dave in prep brea. 40-01 «1-In-uoe utandll in nonpoientielly hazardous food not slofad with hendi Bbova tp of fond within a clazed container; Qulk Herr in prep ares, S300 191: Managar lacking proof of Food Manager Certification. S48-08-1:No proof of required employee {reining provided, All public food service ‘eglatyanments mual provide the dhvisran Tnehidllag, but net limited to, ef (he Ime of any oiviaion inspection of the astablighmant. Pro with proof al employes (atning pon rad Went, 45-28-1:.No current hood fire svppression ayttem Inepedtion repea avaliable. APR Form HF 5022-015 Sep 10 2007 13:53 aa/le/eaey 13:45 8584146749 DEPR OGA PAGE 1@/1d4 eye a STATE OF FLORIDA EXHIBIT B DEPARTHENT OF BUSTHESS AHS PROFRURTONAL REGULATION DIVISTON OF HOTELS AND RESTAURANTS we. yfloride.com/dbpr CALL BAEK INSPECTION REPORT LEGAL NOTICE mnpfalt tet may rernit ir aepenekn or revocation of your litenee 4nd fires, Fillers te comply with thls Nethce may Inflate an adirtitietra tive co Oyog/o? 11:40AM 62443? SEAT Zitkgek Irepection Dts and Time Tanne Nuribet MAISON BORDEAUX ING Fa7348R800 ‘ Rare res Coe TaaBhO ner SiC TAGLES AT PENTNESULA/PALM TER Buriness NATE 4 ‘ nama fan? acc cr IGEERTGINE DT Og 2837 BEACH BLYO : GULF PORT, 33707 Rae TR BE . temments . . peered 1 five foach Ih ay storage roi seperated from lhchen, Caled Erith to update, bin Olsen accomparied me att this itspection, fod Erick concaming hood eyntam. “Toidto AC Recnreet it. ed extension cond in ues for non-bemparAry period: heat cooks fie and prop cooler, ed # sp Mter/mukkphig adapter in ure; tn ume by cools Me and ofep cotter. plation: 45-40-21 Portible fire extingubher with no approved inspection tag: ABC nar racke of dichas by dish area. OF-08-07 ‘ Inapector Signatune ——_ Oote Signature of Retlpant For further information pleas contact Aetptent: Karen Charhernan nea ‘Stacy Nymark, Tita owner Santeation & Safnty Speciaist 3728 w Grace St. £20 Tams, FL phones 33¢0 jane ASOAGT- 1295 Dae Ferm HR £022-008 Sep 10 2007 13:53 89/1le/26e7 13:45 8584146749 DEPR OGA PAGE 11/14 Pugh? EXHIBIT Bo ssa mnt STATE OF FLORIDA SEAT 6215437 DEPARTMENT OF RURINERH AND PROFESIONAL REGULATION ‘even ame OIVIBTON oF HOTELS AND ea SIC TABLES ATAININGLILA/PALM TE CALL BACK INSPECTION REPORT man UIGAL NOTICE OSE? 440 Faliire te comply with this Notice may Inittete an sdiminlatrativa consplaint that may result in sunpannion or revecatiot of your Hoon end fren, polation: 45*36-1 ped suppression Aytter mising tag; pull atation near dish machine. Rvstam not wetted and not oe. plation: 45:35.) 6 eyprent hood fire suppression aystan itayection rapart avaliable, pkation: 32:17+1 ancheching cleanser lacking at handwarhing avelory; fees at bar, planion: 32eh6e1 and wash aink lacking proper hand drying provietotts; inves at bar. elation: 22-152 Locerved single-service artic stored welthnert protection from contamination; (tans G1 dod machine sot brearted, re one panel is minaing OvGr sine, nod filters are net Hlaht-Mting. and firmip held in place - tevin open spaces; aopet onsumet advisory on raw/unidermobisd animal products; beet and ea. foflowing Item(s) are in comphanee: lation: SPB-O8-1 o proof of required eanplzyee training provkied, Atl pubie Food anrvion ettablich bo, at the time of any division Inspection of tie: establishment. Staff Trainiy. plation: SATE 1 iar lacking prow of Food Manaper ‘Certiticathot. ert Chatnpman 2/1/04 National Food Registry. iments must provide the elvision with asf af employee training upon request, Mekiding, but no (inne? fntion: 50-094 GHPR Porm HR SOE aa/le/eaey 13:45 asndi4é Sep 10 2007 13:53 749d DEPR OGA PAGE 12/14 Page EXHIBIT B sce nnie STATE OF FLORIDA tale, SEAT 6215437 DEPARTMENT OF BUSINESS AND tI FERAIONAL HEGULATION Business Nema DIVIEION OF HOTELS AND RERTAURANTS BDC TABLES AT PENINSULA/PALM TET ww. myflorida.com/ébpr h baw CALL BACK INSPECTION REPORT Os/080? L140 AM LEGAL NOTICE Falture to comply with thhe Notice ray Initiate an edeministrative cot pinlet thet may reealt [n suspension or Mvocetian of year Biceaee end fied, ptel and Restaurant Kanse not property dkeplayed. platjon: 47-06-4 Bhserved extunaion cord in use for nonefenporary penod: neat back door connecting toaster oven near tvs, piatian; #28-03-1 beervel unlabeled epray botiie; on chal nenr d-comp clk. oleddan: 22-241 beereed buddup of etitid on soda diepenting mectziet; sod hroleter’ at bar, intlon: 22° 2061 ed bulidup of Emme dn the Interior of fee Machi. platian: 22-194 cearvend Interior of microwave soled; white Hvicromrave ft Prep Brea, nistion: 2106-1 wiping cotta not laundered dally; foul on shelf of cooks fin. on! 10-01-1 f-uet utensil kt fonbotentalty hacaraoue foect nel stored wh fee Roove top of food within a ckane container; bulk Item ty prep aren. pation: OBA-28-1 d/food tured cin floor; Mt WEG & on floor pra stove, pasta, ation) OBA*22-1 erred inipropar horknonts) separate of Reve anal foods and ready-to-eat foods; rae meefood Etored ott RITE product in wehie frida: ree stern. plation: O2-26-1 , ork 9 omtainars of ford rmeriel ffm origi conta nek Mentified by commor nme; bulk fem on shell neect to stove Ih prep APS. pian: 02-071 DAPR. Form HR 5022-005 Sep 10 2007 13:54 aa/le/eaey 13:45 8584146749 : DEPR OGA PAGE 13/14 EXHIBIT Bx” vs STATE OF FLORIRA SEAT DEPARTMENT OF BUKIHEGE AND PROPESSTONAL REGULATION .* Boren Nana DIVISION OF HOTELS AND RESTAURANTS ‘S0¢ TABLES AT PENINSULAPALM TEF spree seep fiorid.tosn/ 4b 8 Inspection Data CALL SAGE INSPPCTION REPORT OE/0R07 21:40 AM LEBAL NOTICE Fallaie to comply with thle frotice mar tnkiges an ademninietrathes complaint that nigy result Irr suspension o¢ revodatian of your licenes and fires, processed rendy-to-eat, poberitistly hazardous food held more than 24 houra nat property date aisthed afar opening: ghenges, meats, pests hid in Rak tunity. 4 COI ire, in; ONG 122 hal egg (n use of stored with cracks oF broken shells; on Kottom rack in WIC. DNPR Ferm He 8022-005

Docket for Case No: 07-004064