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Complaint Investigation Summary Report#:5105 <br /> COMPLAINT ID: C00053755 Site Location: 419 LINCOLN CENTER <br /> Received by: EE0000467 CARRUESCO Received Date: 5/4/2021 Complaint Received Via: INTERNET/EMAIL <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 5/4/2021 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Nature of complaint: <br /> ON 4/30/21 AT AROUND 4:30PM,COMPLAINANT CONSUMED DRAGON ROLL AND CALIFORNIA ROLL FROM THIS FACILITY.ATAROUND 1:00 <br /> AM 5/1/21,COMPLAINANT BEGAN TO EXPERIENCE NAUSEA,VOMITING, DIARRHEA, DIZZINESS AND DEHYDRATION.COMPLAINANT HAS <br /> NOT SEEN A DOCTOR AT THIS TIME. <br /> PROPERTY INFORMATION <br /> Facility:FA0002116-SHOMI JAPANESE RESTAURANT <br /> Site Location 419 LINCOLN CENTER District 002-MILLER,KATHERINE <br /> STOCKTON,CA 95207 Location Code 99-UNINCORPORATED AREA <br /> Cross Street APN 09741056 <br /> ------------------------------------------------- <br /> Complaint Status: <br /> Date Abated: 5—_ 4-2 / Abated By: <br /> ----------------- <br /> Activity Summary <br /> Activity Date Recorded by <br /> 05/04/2021 Complaint inspection see official inspection report FLOHRSCHUTZ <br /> Unable to verify <br /> Report emailed to ilhasuh@gmail.com <br /> Emailed complaint with findings at arthur.black@live.com <br /> 5105.rpt Page 1 of 1 <br />