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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055552 Site Location: 4625 N DUNCAN RD <br />Received by: EE0007541 FIELD <br /> Received Date: 1/23/2023 Complaint Received Via: PHONE <br />Assigned To: EE0009828 MURO <br /> Assigned Date: 1/23/2023 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT STATED THAT ON 1/22/2023, AROUND 2:26 PM, THEY PURCHASED A BRISK RASPBERRY TEAAND DRANK PART OF IT. <br />ABOUT 3 - 4 HOURS LATER, COMPLAINT BECAME ILL WITH SEVERE STOMACH CRAMPS, DIARRHEA, AND THROWING UP. COMPLAINANT <br />WENT TO ST JOSEPH'S HOSPITAL AND WAS DIAGNOSED BY DR. GOLTSER WITH FOOD POISONING. DATE OF EXPIRATION ON TEA <br />BOTTLE WAS NOVEMBER 22, 2021. <br />*COMPLAINANT WOULD LIKE A CALL BACK AFTER INSPECTION. <br />PROPERTY INFORMATION <br />Facility: FA0000034 - RINALD1S MARKET INC <br />Site Location 4625 N DUNCAN RD <br /> District 004 - WINN, CHARLES <br />LINDEN, CA 95236 <br /> Location Code 99 - UNINCORPORATED AREA <br />Cross Street ST RT 26 APN 09119015 <br />Complaint Status: ° <br />Date Abated: — 202 <br />Abated By: C, Jsflu R_O <br />Activity Summary <br />Activity Date Recorded by <br />01/24/2023 Complaint investigtion. Handwrote report - gave to operator. Unable to verify MURO <br />complaint. <br />51 05. rpt <br /> Page 1 of 1