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CO0055362 (2)
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CO0055362 (2)
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Last modified
1/19/2023 4:11:24 PM
Creation date
1/19/2023 4:09:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055362
PE
1600
FACILITY_ID
FA0017821
FACILITY_NAME
TACO BELL #34197
STREET_NUMBER
1421
Direction
W
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534028
ENTERED_DATE
11/14/2022 12:00:00 AM
SITE_LOCATION
1421 W COLONY RD
RECEIVED_DATE
11/14/2022 12:00:00 AM
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Status: <br />Date Abated /2/2.42 77 Abated By: <br />Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055362 <br /> <br />Site Location: 1421 W COLONY RD <br /> <br />Received by: EE0009846 BALLWAHN <br /> Received Date: 11/14/2022 <br /> Complaint Received Via: PHONE <br />Assigned To: EE0078788 FAHMY <br /> Assigned Date: 11/14/2022 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />(C) WENT TO TACO BELL ON 11/13/2022 AT AROUND 6:00 PM, ATE A BEEFY CHEESE MELT, TWO CHEESY BEAN AND RICE BURRITOS, AND <br />A BEEF SOFT TACO. VOMITING AND DIARRHEA SYMPTOMS STARTED AROUND 4:00 AM. (C)'S DAUGHTER ATE A BEEF CRUNCHY TACO <br />AND EXPERIENCED DIARRHEA SYMPTOMS THE NEXT DAY. (C) HAD A "TELE-DOC" PHONE APPOINTMENT WITH DOCTOR ON 11/14/2022 AT <br />RIPON FAMILY PHYSICIAN AND (C) SAID THAT THE DOCTOR ASSUMED IT MIGHT BE FROM THE BEEF. <br />PROPERTY INFORMATION <br />Facility: FA0017821 - TACO BELL #34I97 <br />Site Location 1421 W COLONY RD <br /> District <br />005 - RICKMAN, ROBERT <br />RIPON, CA 95366 <br /> Location Code 05 - RIPON <br />Cross Street APN <br />24534028 <br />Activity Summary <br />Activity Date <br />12/01/2022 Complaint inspection. See report. <br />Major violations observed. <br />Re inspection is required in 2 weeks. <br />Report emailed to vmaciel@pacificbells.com <br />Signature is not captured. <br />Recorded by <br />FAH MY <br />12/20/2022 Complaint follow up is done via re inspection required after the routine inspection <br />that is conducted same day of complaint investigation. <br />Re inspection is conducted on 12-20-22 <br />All major violations are corrected. <br />Complaint is abated today. <br />Report emailed to 034197@pacificbells.com <br />FAH MY <br />5105. rpt <br /> <br />Page 1 of 1
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