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Complaint Status: <br />Date Abated: Abated By: <br />Complaint Investigation Summary <br /> Report #: 5105 <br />COMPLAINT ID: C00055910 Site Location: 4580 W HWY 12 <br />Received by: EE0003600 BLACKWELL <br />Received Date: 6/14/2023 Complaint Received Via: PHONE <br />Assigned To: EE0009825 AFONSKAIA Assigned Date: 6/14/2023 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />ON 6/12/2023 AT 12:30PM COMPLAINANT ATE AT THE FACILITY AND ORDERED A BACON LETTUCE TOMATO SANDWICH WITH POTATO <br />SALAD, MIXED BERRY PIE, AND ICED TEA. THAT AFTERNOON STARTED NOT FEELING VERY WELL AND BY EVENING COMPLAINANT WAS <br />HAVING STOMACH PRESSURE, NAUSEA, VOMITING, & DIARRHEA. COMPLAINANT SILL NOT FEELING WELL BUT IS GRADUALLY <br />IMPROVING. DID NOT CONTACT A DOCTOR AND DID NOT CONTACT THE FACILITY. COMPLAINANT THINKS IT MAY HAVE BEEN THE <br />LETTUCE. <br />PROPERTY INFORMATION <br />Facility: FA0001099 - PHILLIPS FARMS <br />Site Location 4580 W HWY 12 <br /> District <br />004 - WINN, CHARLES <br />LODI, CA 95240 <br /> Location Code <br />Cross Street HWY 12 <br /> APN 05516050 <br />Activity Summary <br />Activity Date <br />06/21/2023 <br />Recorded by <br />Complaint inspection. No major violations, some minor. No re-inspection. Report AFONSKAIA <br />emailed to jsantos@michaeldavidwinery.com <br />Called complainant and went over inspection findings, let them know that there will <br />not be a re-inspection. <br />5105. rpt Page 1 of 1