Laserfiche WebLink
Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055299 Site Location: 3255 W HAMMER LN <br />Received by: EE0009830 SAUERS <br />Received Date: 10/17/2022 Complaint Received Via: PHONE <br />Assigned To: EE0001084 RAMIREZ <br />Assigned Date: 10/17/2022 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT ORDERED FOR TAKE OUT ON 10/8/22 SOMETIME IN THE AFTERNOON. COMPLAINANT ORDERED CHICKEN CHOW FUN, <br />(NOODLES, CHICKEN AND VEGETABLES), AND CHICKEN FRIED RICE, (CHICKEN, RICE, EGG, AND VEGETABLES.) COMPLAINANTS <br />DAUGHTER DELIVERED THEM THE ORDER. COMPLAINANT PLACED A SMALL AMOUNT OF THE FOOD IN A BOWL TO CONSUME AND <br />PLACED THE REST IN THE REFRIGERATOR. UPON CONSUMING FOOD, COMPLAINANT BEGAN TO EXPERIENCE PROBLEMS WITH <br />BREATHING AND A LITTLE BIT OF NAUSEA. COMPLAINANT HEATED UP MORE OF THE FOOD LATER IN THE EVENING AND BECAME MORE <br />SICK. COMPLAINANT HEATED UP MORE AFTERWARDS AND WENT INTO WHAT THEY DESCRIBE AS ANAPHYLACTIC SHOCK AND FOOD <br />POISONING. THEY HAD SHORTNESS OF BREATH, NAUSEA, CHILLS, VOMITING, AND DIARRHEA. COMPLAINANT STATES THAT THEY ARE <br />ALLERGIC TO SHELL FISH AND INFORMED THE EMPLOYEE THAT WAS TAKING THE ORDER OF THAT AND TO NOT USE THE SAME <br />UTENSILS AND TO CLEAN GRILL BEFORE PREPARING FOOD ON GRILL THAT SHELL FISH WAS PREPARED ON. COMPLAINANT WENT TO <br />DAMERON EMERGENCY ROOM ON 10/8/22 IN THE EVENING AND THEN WENT TO PRIMARY CARE PHYSICIAN. <br />***PLEASE CALL COMPLAINANT. <br />PROPERTY INFORMATION <br />Facility: FA0001882 - CHOW TO GO CHINESE RESTAURANT <br />Site Location 3255 W HAMMER LN <br />District 002 - MILLER, KATHERINE <br />STOCKTON, CA 95209 <br />Location Code 01 - STOCKTON <br />Cross Street <br />APN 08222013 <br />Complaint Status: <br />Date Abated: <br /> <br />s <br /> <br />) Abated By: <br /> <br />(2-a nit 11‘ <br /> <br />Activity Summary <br />Activity Date Recorded by <br />10/20/2022 Compliant investigation. RAMIREZ <br />Major violations. <br />Re-inspection to occur. <br />Report emailed to wendy_ma6@yahoo.com <br />I called complainant and discussed inspection and my observations. <br />10/27/2022 Complaint re-inspection. <br />I did not observe food out at room temperature. <br />Cook is wearing clean apron. <br />Cook demonstrated proper hand washing at hand wash sink. Report emailed to <br />wendy_ma6@yahoo.com <br />RAM IREZ <br />5105.rpt <br />Page 1 of 1