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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00036622 Site Location: 3473 W HAMMER LN Account ID: AR0002033 <br /> Received by.• EE0009649 ESTRADA Received Date: 6118/2013 Print Date: 6/18/2013 1:28:14PM <br /> Assigned To: EE0002424 VELOSO-CACAPIT Assigned Date: 6/18/2013 <br /> Proram/Elemen ode'2400-HOTEL/MOTEL PROGRAM <br /> Complainant: :CARL DANGERFIELD Home Phone ; 910-476.8113 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> E <br /> 06/15/13(C)STAYED IN ROOM 204&WOKE UP THE NEXT MORNING COVERED WITH BED BUG BITES <br /> Complaint Mode: PComplaint 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 /> [-Internet/Email S-Sheriff's Office <br /> -- - ------- —————--———— ———— ----------- <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 <br /> Date Abated D l R Inspector ID#: VCacti-D_C~f►!f <br /> --.-------— ----- — ————————— <br /> `T <br /> Send Referral to Referral Letter Sent by <br /> Refenal Address Date: <br /> Complaint Status Code: 101 <br /> Circle appropriate Status Code <br /> n�1 <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> Iu1l-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 SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 5104.rpt <br /> ompamt Reviewed by: LI V%` Date:, Ld �L31ate <br /> by: oke: <br /> 5104.rpt <br />