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Complaint Investigation Summary <br /> Report #: 5105 <br />COMPLAINT ID: C00054203 Site Location: 10355 TRINITY PKWY <br />Received by: EE0003600 BLACKVVELL <br /> Received Date: 8/31/2021 Complaint Received Via: PHONE <br />Assigned To: EE0009857 VANG-LEE Assigned Date: 8/31/2021 <br />Program/Element Code 2546 - Release/Spill Response (excluding Joint Team) <br />Nature of complaint: <br />COMPLAINANT STATED THAT ON 08/30/2021, THEY ENTERED THE FACILITY WITH THEIR MOTHER AND WERE OVERWHELMED WITH A <br />STRONG ODOR. THEY EXPERIENCED BURNING EYES, SORE THROAT, NAUSEA, AND RUNNY NOSE. COMPLAINANT STATED THEY <br />OBSERVED EMPLOYEES SPRAYING THE SHOPPING CARTS WITH DISINFECTANT. <br />PROPERTY INFORMATION <br />Facility: FA0021320 - Walmart #3352 <br />Site Location 10355 TRINITY PKWY <br /> District 003 - PATTI, TOM <br />STOCKTON, CA 95219 <br /> Location Code 01 - STOCKTON <br />Cross Street CONSUMNES DRIVE <br /> APN 066-020-07 <br />Complaint Status: 01 <br />Date Abated : OI Zt (7,40z ii <br /> <br />Abated By: NI AIV) <br /> <br />Activity Date <br />Activity Summary <br />Recorded by <br />08/31/2021 Site visit with V. yang-Lee. Discussed complaint with Chanel Roussel-Sok, F/C MANZO <br />Coach (manager on duty); 209-570-3970 (cnrouss.s03352.us@wall-mart.com. <br />Observed the area where shopping carts are disinfected with Bioesque Solution. <br />See V. Vang-Lee narrative for more details. Provided an update to M. Nissim <br />(Program coordinator) <br />08/31/2021 Reviewed Bioesque sanitizing material information MANZO <br />08/31/2021 Generated a potential exposure notification email and emailed to Nissim, Melissa MANZO <br />[EHD] <mnissim@sjgov.org >: Naidu, Muniappa [EHD] <Mnaidu@sjgov.org>: <br />Park, Maggie [PHS] <mpark@sjcphs.org >: Kang, Jasjit [EHD] <jkang@sjgov.org>: <br />Voorhis, Jolena [CAO] <jvoorhis@sjgov.org>, cc to V. yang-Lee. <br />Complaint assistance. SDS and disinfectant PPE research. <br />08/31/2021 I received a complaint regarding respiratory symptoms due to a strong odor at VANG-LEE <br />Walmart. Elena Manzo and I met with the Walmart store manager Chanel <br />Roussel-Sok. Chanel showed us the disinfectant solution that is currently used for <br />their shopping carts. The solution is called Bioesque Botanical Disinfectant <br />Solution. Per the labeling, it is in a ready-to-use form and does not need to be <br />diluted. <br />I returned to the office and called the complainant. The complainant stated that <br />when they arrived at Walmart on 08/30/2021 with their mother, they both noticed a <br />strong odor and began experiencing headache, nausea, runny nose, itchy through, <br />and chest pain. When the complainant asked the employees what the smell was, <br />they stated it was their cart disinfectant. The complainant stated that they were <br />stilll experiencing chest pain today. I advised the complainant to seek medical <br />attention and to notify me if it worsens. <br />I looked up the safety data sheets for the disinfectant solution. The active <br />ingredient is thymol. <br />Photo log was completed. <br />I left a message for Walmart manager Chanel at 209-570-3970 to get clarification <br />regarding their maximum storage amount for the solution, employee training for <br />disinfecting, and personal protective equipment use. <br />5105.rpt <br /> Page 1 of 3