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CO0055993
EnvironmentalHealth
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1600 - Food Program
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CO0055993
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Entry Properties
Last modified
8/2/2023 1:38:13 PM
Creation date
8/2/2023 1:27:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055993
PE
1600
FACILITY_ID
FA0014809
STREET_NUMBER
2433
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
ENTERED_DATE
7/17/2023 12:00:00 AM
SITE_LOCATION
2433 NAGLEE RD
RECEIVED_DATE
7/17/2023 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Complaint Status: <br />Date Abated; <br /> — t — 23 Abated By: L__cAi <br />2_ <br />Complaint Investigation Summary <br /> Report #. 5105 <br />COMPLAINT ID: C00055993 Site Location: 2433 NAGLEE RD <br />Received by: EE0006213 PEDRAZA Received Date: 7/17/2023 <br /> Complaint Received Via: PHONE <br />Assigned To EE0004589 LINHARES <br /> Assigned Date: 7/17/2023 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />COMPLAINANT ALLEGES HE GOT FOOD POISONING FROM EATING UNAGI TERIYAKI BOWL AT THE FACILITY. COMPLAINANT ATE THERE <br />ON FRIDAY 07/14/23 , AT 10:40AM, SYMPTOMS OF VOMITING, STOMACH CRAMPS AND FEVER BEGUN ON SATURDAY, 07/15/23 AT 1:00A.M. <br />PROPERTY INFORMATION <br />Facility: FA0014809 - KIMONO SUSHI <br /> <br />Site Location 2433 NAGLEE RD <br /> District 005 - RICKMAN, ROBERT <br /> <br />TRACY, CA 95304 <br /> Location Code 03 - TRACY <br /> <br />Cross Street PAVILION PKWY <br /> APN <br />Activity Summary <br />Activity Date Recorded by <br />07/18/2023 Complaint investigation conducted at permitted food facility. Routine inspection of LINHARES <br />facility conducted concurrently. Nature of complaint: COMPLAINANT ALLEGES <br />HE GOT FOOD POISONING FROM EATING UNAGI TERIYAKI BOWL AT THE <br />FACILITY. COMPLAINANT ATE THERE ON FRIDAY 07/14/23 ,AT 10:40AM, <br />SYMPTOMS OF VOMITING, STOMACH CRAMPS AND FEVER BEGUN ON <br />SATURDAY, 07/15/23 AT 1:00A.M. Major violations identified this date and <br />corrected on site. Minor violations identified. Re-inspection required in 2 weeks. <br />Inspection report e-mailed to Tony guanxin1028@gmail.com Called complainant <br />and discussed the findings. Complaint abated this date. <br />5105.rpt <br /> Page 1 of 1
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