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CO0053450 (2)
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1600 - Food Program
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CO0053450 (2)
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Entry Properties
Last modified
4/13/2021 3:14:44 PM
Creation date
4/13/2021 3:06:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0053450
PE
1600
FACILITY_ID
FA0001047
FACILITY_NAME
JACK IN THE BOX #493
STREET_NUMBER
419
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03730050
ENTERED_DATE
2/18/2021 12:00:00 AM
SITE_LOCATION
419 W LODI AVE
RECEIVED_DATE
2/18/2021 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00053450 Site Location: 419 W LODI AVE <br />Received by: EE0000467 CARRUESCO Received Date: 2/18/2021 <br /> Complaint Received Via: INTERNET / EMAIL <br />Assigned To: EE0001084 RAMIREZ <br /> Assigned Date: 2/18/2021 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT PURCHASED AND CONSUMED TVVO TACOS FROM THIS FACILITY AND ALLEGES THAT ALMOST IMMEDIATELY THEY <br />EXPERIENCED A REACTION AND WAS STILL ILL WHEN REPORTED. ONSET SYMPTOMS: WITHIN 48-72 HOURS COMPLAINANT <br />EXPERIENCED VOMITING, FATIGUE, NAUSEA, FEVER, AND ABDOMINAL PAIN. COMPLAINANT DID NOT SEEK MEDICAL ATTENTION. <br />PROPERTY INFORMATION <br />Facility: FA0001047 - JACK IN THE BOX #493 <br />Site Location 419 W LODI AVE District <br />004 - WINN, CHARLES <br />LODI, CA 95240 Location Code 02 - LODI <br />Cross Street LODI APN <br />03730050 <br />Complaint Status: <br />Date Abated <br />Activity Summary <br />Activity Date Recorded by <br />02/18/2021 Compliant investigation. RAMIREZ <br />Report emailed to espinoza209pedro@hotmail.com <br />Abated By: <br />5105 rpt <br />Page 1 of 1
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