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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00054925 Site Location: 2300 W ALPINE AVE <br />Received by: EE0009830 SAUERS <br /> Received Date: 5/24/2022 Complaint Received Via: PHONE <br />Assigned To: EE0009818 BAKER <br /> Assigned Date: 5/24/2022 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT VISITED FACILITY ON 5/23/22 AROUND NOON. COMPLAINANT ORDERED A PERSONAL SAUSAGE PIZZAAND A SALAD THAT <br />CONTAINED CROUTONS, KIDNEY BEANS, GARBANZO BEANS, AND DRESSING. AT AROUND 3:00 PM, COMPLAINANT BEGAN TO <br />EXPERIENCE STOMACH PAINS, NAUSEA, DIARRHEA, AND A HEADACHE. COMPLAINANT IS STILL FEELING STOMACH PAINS AT THE TIME <br />OF COMPLAINT. <br />PROPERTY INFORMATION <br />Facility: FA0001695 - Michael's New York Style Pizza, Inc <br />Site Location 2300 W Alpine Ave District <br />001 - VILLAPUDUA, MIGUEL <br />Stockton, CA 95204 <br /> Location Code 99- UNINCORPORATED AREA <br />Cross Street ALPINE APN 111090190222 <br />Complaint Status: 49,4 — no fl1LJJY V 7W1s te4WIed <br />Date Abated: 5)2z1w)9-2-- Abated By: <br />/C-M. <br />Activity Summary <br />Activity Date Recorded by <br />05/26/2022 Complaint investigation. No major violations. No re-inspection needed. BAKER <br />Discussed report with Elaine Gouskos (Manager). Official inspection report was <br />emailed to michaelspizzacafe@gmail.com. <br />Called complainant with inspection findings. <br />5105.rpt Page 1 of 1