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CO0055344 (2)
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1600 - Food Program
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CO0055344 (2)
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Last modified
1/19/2023 3:58:04 PM
Creation date
1/19/2023 3:49:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055344
PE
1600
FACILITY_ID
FA0027387
STREET_NUMBER
744
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
25966058
ENTERED_DATE
11/3/2022 12:00:00 AM
SITE_LOCATION
744 JACK TONE RD
RECEIVED_DATE
11/3/2022 12:00:00 AM
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Investigation Summary Report #. 5105 <br />COMPLAIUT ID: C00055344 <br /> <br />Site Location: 744 JACK TONE RD <br /> <br />Received by: EE0009863 GARCIA-MEJIA <br />Assigned To: EE0078788 FAHMY <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />Received Date: 11/3/2022 Complaint Received Via: PHONE <br />Assigned Date: 11/3/2022 <br />FOUR PEOPLE PRESENTED FOOD POISONING SYMPTOMS AFTER EATING CHICKEN AT THIS FACILITY. MOM ATE THERE 10/30/22 AND <br />BEGAN FEELING SICK ON 10/31/22. HUSBAND AND KIDS AT THERE AT 6PM ON 11/01/22 AND BEGAN FEELING SICK ON 11/2/22 AT 4AM <br />WITH DIARRHEAAND AB PAIN. 4 YEAR OLD CHILD WAS SICK ON 11/2/22 AT 8:30AM WITH DIARRHEA. ONE YEAR OLD KID HAD 103 FEVER <br />AND AB PAIN STARTING AT 11PM. <br />PROPERTY INFORMATION <br />Facility: FA0027387 - BURGER KING #293I7 <br />Site Location 744 JACK TONE RD <br />RIPON, CA 95366 <br />Cross Street CANAL <br />District <br />Location Code <br />APN <br />005 - RICKMAN, ROBERT <br />05 - RIPON <br />25966058 <br />Abated By: <br />Complaint Status: <br />Date Abated <br />Activity Summary <br />Activity Date Recorded by <br />11/02/2022 ER Supervisory Call 6:48pm-7:48pm. Gabby received FBI complaint and advised SAEED <br />her to gather information and forward the complaint to Unit I the next day. Also, <br />asked her to have the complainant follow-up with their doctors. <br />11/03/2022 Spoke with Vidal. Generated a complaint for the food poisoning call I received <br />during after hours. Provided it to Yvonne so she could generate the complaint <br />number. <br />11/03/2022 Complaint inspection. See report. <br />No violations observed. <br />Complaint is abated today. <br />Report emailed to bk29317@ghaimanagement.com <br />Signature is not captured. <br />I called the complainant with the finding. <br />GARCIA-MEJIA <br />FAH MY <br />51 05. rpt <br />Page 1 of 1
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