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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055137 <br /> <br />Site Location: 10710 TRINITY PKWY <br /> <br />Received by: EE0003600 BLACKWELL Received Date: 8/15/2022 Complaint Received Via: AGENCY REFERRAL <br />Assigned To: EE0001084 RAM IREZ Assigned Date: 8/15/2022 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT STATES ON 8/6/2022 SIX PEOPLE DINED IN AND THE RESTROOMS WERE CLOSED. ONE 14 YEAR OLD ATE CARNITAS <br />TACOS WITH GUACAMOLE. THE 14 YEAR OLD DEVELOPED SYMPTOMS ON 8/7. ON 8/11 WAS DIAGNOSED WITH SHIGA TOXIN-PRODUCING <br />E-COLI. NO ONE ELSE IN THE PARTY GOT SICK. <br />PROPERTY INFORMATION <br />Facility: FA0022577 - Chipotle Mexican Grill #2387 <br />Site Location 10710 TRINITY PKWY A <br /> District <br />003 - PATTI, TOM <br />Stockton, CA 95219 <br /> Location Code 01 - STOCKTON <br />Cross Street SCOTT CREEK <br /> APN <br />06602019 <br />Complaint Status: <br />Date Abated <br />o pt <br />Abated By: 0--6-1/lA, I/ L <br /> <br />Activity Summary <br />Activity Date <br />08/16/2022 Compliant investigation. <br />No major violations. <br />Report emailed to Placer County Public Health and <br />Ca.2387.Parkwest@chipotle.com <br />Recorded by <br />RAM IREZ <br />5105.rpt Page 1 of 1