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CO0054477 (2)
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1600 - Food Program
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CO0054477 (2)
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Last modified
1/5/2022 1:58:03 PM
Creation date
1/5/2022 1:55:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0054477
PE
1600
FACILITY_ID
FA0025530
FACILITY_NAME
IN-N-OUT BURGERS
STREET_NUMBER
16514
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
19176013
ENTERED_DATE
11/23/2021 12:00:00 AM
SITE_LOCATION
16514 GOLDEN VALLEY PKWY
RECEIVED_DATE
11/23/2021 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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Complaint Investigation Summary Report #. 5105 <br />COMPLAINT ID: C00054477 Site Location: 16514 GOLDEN VALLEY PKWY <br />Received by: EE0000467 CARRUESCO Received Date: 11/23/2021 <br /> Complaint Received Via: PHONE <br />Assigned To: EE0004589 LINHARES <br /> Assigned Date: 11/23/2021 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT'S SON ATE A LETTUCE WRAP HAMBURGER AROUND NOON ON THURSDAY 11/18/21. HE TOOK A BITE AND SOMETHING <br />JARRED HIS DENTURES LOOSE. HE SWALLOWED WHATEVER IT WAS. LATER THAT DAY BEGAN FEELING EXTREME STOMACH PAIN. NEXT <br />DAY WAS ADMITTED TO UC DAVIS FOR EXAMINATION. ON SATURDAY, A RED PLASTIC TIE WAS EXTRACTED FROM HIS SMALL INTESTINE. <br />AS OF TODAY, STILL IN HOSPITAL. <br />PROPERTY INFORMATION <br />Facility: FA0025530 - IN-N-OUT BURGERS <br />Site Location 16514 GOLDEN VALLEY PKWY <br /> District 003 - PATTI, TOM <br />LATHROP, CA 95330 <br /> Location Code 07 - LATHROP <br />Cross Street APN 19176013 <br />Complaint Status: 03 <br />Date Abated: Abated By: (V -No‘ e s <br />Activity Summary <br />Activity Date Recorded by <br />11/24/2021 Complaint investigation conducted this date. Nature of complaint: LINHARES <br />"COMPLAINANT'S SON ATE A LETTUCE WRAP HAMBURGER AROUND <br />NOON ON THURSDAY 11/18/21. HE TOOK A BITE AND SOMETHING JARRED <br />HIS DENTURES LOOSE. HE SWALLOWED WHATEVER IT WAS. LATER THAT <br />DAY BEGAN FEELING EXTREME STOMACH PAIN. NEXT DAY WAS <br />ADMITTED TO UC DAVIS FOR EXAMINATION. ON SATURDAY, A RED <br />PLASTIC TIE WAS EXTRACTED FROM HIS SMALL INTESTINE. AS OF <br />TODAY, STILL IN HOSPITAL." No major violations identified this date. No <br />re-inspection required. Inspection report e-mailed to ehdr@innout.com. Called and <br />spoke to complainant to discuss the findings of the investigation. <br />11/30/2021 Prepped and printed eight photo logs for complaint. Complaint abated this date. LINHARES <br />5105. rpt Page 1 of 1
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