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Complaint Investigation Summary Report #' 5105 <br />COMPLAINT ID: C00054295 Site Location: 4455 PACIFIC AVE <br />Received by: EE0009830 SAUERS Received Date: 9/21/2021 Complaint Received Via: PHONE <br />Assigned To. EE0003361 FLOHRSCHUTZ Assigned Date 9/21/2021 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT ORDERED A 2 PIECE AND A BISCUIT, EXTRA CRISPY CHICKEN ON 9/20/21 AT AROUND 8:00 PM. COMPLAINANT ALLEGES <br />THAT AS SOON AS THEY FINISHED THEY HAD TO USE THE BATHROOM. THE COMPLAINANT ALLEGES THEY HAVE PAIN ON THEIR RIGHT <br />SIDE OF THEIR APPENDIX AND BELIEVES THE CHICKEN HAD SOMETHING TO DO WITH IT. <br />***PLEASE CALL COMPLAINANT WITH FINDINGS. <br />PROPERTY INFORMATION <br />Facility: FA0002469 - KFC CORBIN 255 <br />Site Location 4455 PACIFIC AVE <br /> District <br />002 - MILLER, KATHERINE <br />STOCKTON, CA 95207--760 <br /> Location Code 01 - STOCKTON <br />Cross Street PACIFIC <br /> APN <br />11024011 <br />Complaint Status: <br />Date Abated: Abated By: <br /> <br />40 /-tyPic-iht <br /> <br />Activity Summary <br />Activity Date <br />09/23/2021 Complaint inspection see official inspection report <br />No violations <br />Report emailed to cccorbin8707@gmail.com <br />Called and spoke to complainant at 889-9566 <br />Recorded by <br />FLOHRSCHUTZ <br />5105. rpt Page 1 of 1