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-') r-; Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00037149 Site Locations 3473 HAMMER LANE Account ID: AR0002033 <br /> Received by: EE0090753 MARTINEZ Received Date: 10/17/2013 Print Date: 10/17/2013 4:40:57PM <br /> Assigned To: EE0002424 VELOSO-CACAPIT Assigned Date: 10/17/2013 <br /> Program/Element Code:2400-HOTEL/MOTEL PROGRAM <br /> Complainant: MARIAH ADAMS Home Phone 209430-1018 <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> (C)STATES THAT SHE STAYep AT THIS FACILITY BETWEEN 9/27 TO 10/13. SHE�T CHECKED INTO RM 106-IT HAD COCKROACHES <br /> AND WAS MOVED TO RM 10 ND IT HAD BED BUGS THEN WAS MOVED TO RM 110 HEN RM210 THEN RM 310 ALL OF THEM HAD BED <br /> BUGS. SHE LEFT THE FA ITY. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs 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 003-BESTOLARIDES Location Code 01-STOCKTON <br /> APN 07118016 <br /> Date Abated 10 —ql/: Inspector ID#:� /CWJ 0-fJf it <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: It <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01 -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 /> 01p�POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> ovoI(091 to <br /> 5104.rpt <br />