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CO0051953
EnvironmentalHealth
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REYNOLDS RANCH
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1600 - Food Program
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CO0051953
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Entry Properties
Last modified
6/18/2026 1:44:28 PM
Creation date
5/20/2020 2:38:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0051953
PE
1600 - FOOD PROGRAM
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
ENTERED_DATE
5/13/2020 12:00:00 AM
CURRENT_STATUS
Void
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
RECEIVED_DATE
5/13/2020 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
2680 REYNOLDS RANCH PKWY LODI 95240
Tags
EHD - Public
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SAN 10AQUIN Environmental Health Department <br /> COUNTY <br /> G�n�tnl�S ` Time In: 9:30 am <br /> Time Out: 10:00 am <br /> Food Program Complaint Inspection Report <br /> Name of Facility: COSTCO WHOLESALE#1091 Date: 05/14/2020 <br /> Address: 2680 REYNOLDS RANCH PKWY, LODI 95240 <br /> Owner/Operator: Telephone: (209)366-7300 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00051953 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT PURCHASED A BOX OF KIWI LAST TUESDAY. COMPLAINT AND DAUGHTER ATE THE KIWI ON <br /> 05/11/20, THEY BOTH BECAME ILL WITH SYMPTOMS OF VOMITING DIARRHEA AND LOW FEVER. THEY ATE IT AT <br /> 9:OOAM AND BECAME ILL WITHIN HALF HOUR. THEY ARE BETTER TODAY. THEY DID NOT GO TO THE DOCTOR. <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7, <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM—LOCATION--TEMP°F—COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Complaint inspection conducted this date,the followings were noted: <br /> Kiwi/sungold and Kiwi/organic packages were observed to be in original package and in good condition. <br /> Kiwi packages were observed to be displayed on pallets off the floor and kiwi packages were stored inside the fresh produce <br /> cooler off the floor. No overhead contamination observed. <br /> Inspection report was e-mailed to Tim Stone, Assistant Manager. Signature was not captured. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Tim Stone,Assistant Manager <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0020431 000051953 SCO04 05/14/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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