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CO0054697 (2)
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1600 - Food Program
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CO0054697 (2)
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Last modified
3/21/2022 3:26:36 PM
Creation date
3/21/2022 3:24:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0054697
PE
1600
FACILITY_ID
FA0016130
STREET_NUMBER
2375
STREET_NAME
GIANNONI
STREET_TYPE
WAY
City
LODI
Zip
95242
APN
05823026
ENTERED_DATE
2/17/2022 12:00:00 AM
SITE_LOCATION
2375 GIANNONI WAY
RECEIVED_DATE
2/17/2022 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Complaint Investigation Summary <br /> Report #: 5105 <br />COMPLAINT ID: C00054697 Site Location: 2375 GIANNONI WAY <br />Received by: EE0006213 PEDRAZA Received Date: 2/17/2022 <br /> Complaint Received Via: PHONE <br />Assigned To: EE0001084 RAMIREZ <br /> Assigned Date. 2/17/2022 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />PATIENT EATS LUNCH AT THIS SCHOOL DAILY, AND ATTENDS AN AFTER SCHOOL PROGRAM WHERE SNACKS ARE GIVEN. PATIENT WAS <br />DIAGNOSED WITH E COLI. ON 02/01/22 PATIENT ATE A BEEF QUESADILLAAND AN APPLE. ON 02/05/22 SYMPTOMS, ABDOMINAL PAIN <br />AND BLOODY DIARRHEA. <br />PROPERTY INFORMATION <br />Facility: FA0016130 - LODI USD-ELLERTH LARSON SCHOOL <br />Site Location 2375 GIANNONI WAY <br /> District 004 - WINN, CHARLES <br />LODI, CA 95242 <br /> Location Code 02 - LODI <br />Cross Street LEGACY <br /> APN 05823026 <br />Complaint Status: <br />Date Abated; <br /> <br />241i/ 7 -2 <br /> <br />Abated By: (0 Li 3 <br /> <br />Activity Summary <br />Activity Date Recorded by <br />02/17/2022 Jeff Carruesco and I conducted an inspection, we met with area manager and PEDRAZA <br />focus on the foods in question. We looked at the storage, preparation process and <br />handling of the of the product. We did not see any major violations. The report <br />was emailed to tfryer@sjcphs.org and coliver@lodiusd.net. <br />51 05 rpt Page 1 of 1
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