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CO0055907
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1600 - Food Program
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CO0055907
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Last modified
8/2/2023 2:28:25 PM
Creation date
8/2/2023 11:38:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055907
PE
1600
FACILITY_ID
FA0015179
FACILITY_NAME
BUFFALO WILD WINGS
STREET_NUMBER
2796
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
Tracy
Zip
95304
APN
21205060
ENTERED_DATE
6/13/2023 12:00:00 AM
SITE_LOCATION
2796 NAGLEE RD
RECEIVED_DATE
6/12/2023 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Date Abated: — 2 <br />Abated By: <br />Complaint Investigation Summary Report #. 5105 <br />COMPLAINT ID: C00055907 Site Location: 2796 NAGLEE RD <br />Received by: EE0004589 LINHARES Received Date: 6/12/2023 Complaint Received Via: PHONE <br />Assigned To: EE0004589 LINHARES Assigned Date: 6/12/2023 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT ATE AT FACILITY ON 06/08/2023 AT 6:30PM. COMPLAINANT ATE SPICY GARLIC BONELESS CHICKEN WINGS WITH RANCH. <br />COMPLAINANT EXPERIENCED SYMPTOMS OF FEVER, VOMITING AND CHILLS AT 4:00AM 6/09/2023. SYMPTOMS LASTED UNTIL 9:00AM. <br />COMPLAINANT HAD A VIDEO CALL APPOINTMENT WITH DOCTOR. <br />PROPERTY INFORMATION <br />Facility: FA0015179 - BUFFALO WILD WINGS <br />Site Location 2796 Naglee Rd <br /> District 005 - RICKMAN, ROBERT <br />Tracy, CA 95304 Location Code 03 - TRACY <br />Cross Street WEST VALLEY MALL APN 21205060 <br />Complaint Status: 2_(6 <br /> <br />Activity Summary <br />Activity Date Recorded by <br />06/15/2023 Complaint investigation of permitted facility conducted with routine inspection. LINHARES <br />Nature of complaint: COMPLAINANT ATE AT FACILITY ON 06/08/2023 AT <br />6:30PM. COMPLAINANT ATE SPICY GARLIC BONELESS CHICKEN WINGS <br />WITH RANCH. COMPLAINANT EXPERIENCED SYMPTOMS OF FEVER, <br />VOMITING AND CHILLS AT 4:00AM 6/09/2023. SYMPTOMS LASTED UNTIL <br />9:00AM. COMPLAINANT HAD A VIDEO CALL APPOINTMENT WITH DOCTOR. <br />No major violations identified this date. No re-inspection required. Inspection <br />report e-mailed to GM Jon Franco jfrancocabrera@inspirebrands.com; <br />bvvvv0425@inspirebrands.com <br />06/16/2023 Called complainant and discussed the findings from the investigation. Complaint LINHARES <br />abated this date. <br />5105.rpt Page 1 of 1
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