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{. Complaint Investigation Form Report#:5104 <br /> t <br /> COMPLAINT ID: 000036203 Site Location: 3473 W HAMMER LN Account 1D: AR0002033 <br /> Received by: EE0090753 MARTINEZ Received Date: 4/1/2013 Print Date: 4/1/2013 11:50:19AM <br /> Assigned To: EE0002424 VELOSO-CACAPIT Assigned Date: 4/1/2013 <br /> Program/Element Code:2400-HOTEL/MOTEL PROGRAM <br /> Complainant: :CHRISTINA ANDREWS Nome Phone 707-225-1862 <br /> Address ; Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> SHREDDED TOP BLANKETS WITH FLUFF STICKING OUT,CIGARETTE BURNS ON THE INNER BLANKET&SHEETS THAT LOOKED LIKE THEY <br /> HAD BEEN SLEPT IN&NOT WASHED&BUGS(COCKROACHES).SEE EMAIL ATTACHED. <br /> Complaint Made: I Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Internet 1 Email S-Sheriff's Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002025-BUDGET INN&SUITES OF STOCKTON Owner: OW0013042-RME HOTEL INC <br /> Site Location 3473 W HAMMER LN RP/DBA BUDGET INN&SUITES OF STOCKTON <br /> STOCKTON,CA 95219 RP Address 4701 EWING RD <br /> Cross Street CASTRO VALLEY,CA 94546 <br /> Mailing Address: 3473 W HAMMER LN Billing Address 4701 EWING RD <br /> STOCKTON,CA 95219 CASTRO VALLEY,CA 94546 <br /> Home Phone :510-825-3047 <br /> Phone :209-473-2000 Work Phone :209-473-2000 <br /> District Location Code <br /> APN 071 INO16 <br /> + - <br /> Date Abated lllrlt�ill3 Inspector ID#: VI�WQ_Cl�c4WIT_ <br /> Send Referral to I I Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: .n, <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104.rpt <br />