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CO0055247 (2)
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1600 - Food Program
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CO0055247 (2)
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Last modified
11/17/2022 2:05:05 PM
Creation date
11/17/2022 2:01:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055247
PE
1600
FACILITY_ID
FA0001587
FACILITY_NAME
GHINGGIS KHAN
STREET_NUMBER
2233
STREET_NAME
GRAND CANAL
STREET_TYPE
BLVD
City
STOCKTON
Zip
95207
APN
11011006
ENTERED_DATE
9/22/2022 12:00:00 AM
SITE_LOCATION
2233 GRAND CANAL BLVD #117
RECEIVED_DATE
9/22/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055247 <br /> <br />Site Location: 2233 GRAND CANAL BLVD #117 <br /> <br />Received by: .E50009846 BALLWAHN Received Date: 9/22/2022 Complaint Received Via: PHONE <br />Assigned To: EE0009818 BAKER <br /> Assigned Date: 9/22/2022 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT STATED THAT THERE WAS A ROCK IN HIS FOOD; HE BIT IT AND BROKE HIS TOOTH. (C) WANTS TO KNOW WHAT HE CAN <br />DO ABOUT THE ROCK BREAKING HIS TOOTH. ALSO, (C) AND HIS GIRLFRIEND BOTH GOT SICK AFTER EATING THERE. COMPLAINANT GOT: <br />NOODLES, BEEF, PORK, CHICKEN, SAUCES, ONIONS, PEANUTS, RICE, CHILI PASTE. GF GOT: NOODLES, VEGETABLES, PORK, GARLIC, <br />SAUCES, SESAME SEED OIL, HOT OIL. THEY ATE THIS FOOD AROUND 11:00AM ON 9/21/2022, SYMPTOMS STARTED AROUND 11:00PM <br />THAT NIGHT. SYMPTOMS INCLUDED: CRAMPING, VOMITING, DIARRHEA, HEARTBURN. NO LONGER EXPERIENCING SYMPTOMS. NEITHER <br />(C) OR HIS GIRLFRIEND WENT TO THE DOCTOR. <br />PROPERTY INFORMATION <br />Facility: FA0001587 - GHINGGIS KHAN <br />Site Location 2233 GRAND CANAL BLVD STE 117 <br /> District <br />002 - MILLER, KATHERINE <br />STOCKTON, CA 95207 <br /> Location Code 01 - STOCKTON <br />Cross Street GRAND CANAL <br /> APN 11011006 <br />Complaint Status: (49 c 2 g 'er'4 r j /fl 6/Y P la 47 5 8n-r id-9.2 3 Fed <br />Date Abated / e). 919 Abated By . <br />Activity Summary <br />Activity Date Date Recorded by <br />5105.rpt Page 1 of 2
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