Sep 23 2010 15:44 ag/22/2818 1a:22 8584146749 DEPR OGA PAGE 83/85 Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ne of Florida Petitioner, VS. ‘ License Number. 2613534 MAMA FU'S e erotent lcanse Type 2010 P , ase Number 2009080906 trative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ("Petitioner’), files this Administrative Complaint against MAMA EU'S ASIAN HOUSE, (“Respondent”), and says: 1, Petitioner is the state agency charged with regulating the operation af public lodging establishments and public food service establishments, pursuant tb Section 20.165 and Chapter 509, Florida Statutes. 2, Respondent is, and has been at all times material hereto, licensed by or subject to the jurisdiction of the Division of Hotels and Restaurants, The respondent's business address of recard is 14405 SAN JOSE BLVD, SUITE #3 , JACKSONVILLE, FLORIDA 32223.The mailing address of record is MAMA FU'S ASIAN HOUSE, at 25335 MARSH LANDING PKY, PONTE VEDRA BEACH, FLORIDA 32082, 3. Inspection of this establishment conducted pursuant to Sec. $09,032, Florida Statutes, revealed violations . of the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated therete 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 follawing penalties: administrative fina not to exceed $1,000 per offense, suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any other jelief authorized by Ghapter 509, Florida Statutes, or the rules promulgated thereto. Signed November 23, 20 teven voh Bodungen, District Manager y delegation of the Director, or designee ivision of Hotels & Restaurants epariment of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Marc Drexler, Lead Attorney Florida Bar Na. 0487058 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-2202 Certificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: | 7160 3901 9848 6393 0401 | HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this day of . 2008 Received by: Inspector's Signature Operator's Signature Title Title Diatriet Number: 05 N fr 2008060806 Fife Number: 184909 sense Nun Form revised 10.15.09 Licanse Number: 2613531 2010 MAMA FLI'S ASIAN HOUSE ag/22/2818 1a:22 8584146749 Exhibit A License Number: 26135341 License Type: 2010 PERMANENT FOOD SERVIC Case Number: 2009060806 FC as cited herein references specific provisions Public Health Service, Food and Drug Administrati Code. NFPA as Cited herein referances specific pi Safety Code, incorporated by reference at Chapte Administrative Code, and 61C-1.004(5), Florida A * denotes a critical violation. and/or the Rules of the Division of Hotels and Res! Sep 23 2010 15:45 DEPR OGA PAGE m f the Faad Code, Recommendations of the United States ion, incorporated by Chapter 61C, Florida Administrative visions of the National Fire Protection Association Life 44-3, Fire Prevention, General Provisions, Florida ministrative Cade. aurants, Florida Administrative Code (FAC), in the following itis alleged that on October 8, 2009, October 9, ou the licensee was in violation of Florida Statute 509(FS) particulars. Copy(s) of the repori(s) for the above incorporated by reference as Exhibit B. * 1.03A-07-1 3-501.16(A) FC: WHEN TIME iS USED AS THE PUBLIC HEALTH AND EXCEPT AS SPECIFIED IN PARAGRAPH ( SHALL BE MAINTAINED: (1) AT 135 DEGREES COOKED TO A TEMPERATURE AND FOR A TI REHEATED AS SPECIFIED IN PARAGRAPH 3-4 DEGREES FAHRENHEIT OR ABOVE: OR (2) AT 41 DEGREES FAHRENHEIT OR LESS: eferenced inspectian(s) are attached hereto and CONTROL AS SPECIFIEO UNDER SECTION 3-501.19, ) OF THIS SECTION, POTENTIALLY HAZARDOUS FOOD FAHRENHEIT OR ABOVE, EXCEPT THAT ROASTS E SPECIFIED IN PARAGRAFH 3-401.11(B) OR 3.11(E) MAY BE HELD AT A TEMPERATURE OF 130 A TEMPERATURE SPECIFIED IN THE FOLLOWING: (A) (A) EXCEPT icon PREPARATION, COOKING, OR COOLING, OR OBSERVED POTENTIALLY HAZARDOUS FOOD HELD AT GREATER THAN 41 DEGREES FAHRENHEIT. CREAM CHEESE WONTON 47 DEGREES F., DUMPLING 56 DEGREES F., EGGROLL 52 DEGREES F., CHICKEN 47 DEGREES F. * denotes critical violation Case Number: 2009060906 Licangea Number: 2613531 MAMA FU'S ASIAN HOUSE District: o5 License Typa: 2010 File Number: 184909 a4/a5

Docket for Case No: 10-009287