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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038106 Site Location: 3473 W HAMMER LN Account ID: AR0002033 <br /> Receivedby: EE0002424 VELOSO Received Date: 6/10/2014 Print Date: 6/10/2014 2:29:15PM <br /> Assigned To: EE0002424 VELOSO Assigned Date: 6/10/2014 <br /> Program/Element Code:2400-HOTEL/MOTEL PROGRAM <br /> Complainant. :ANON Home Phone . <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> 2 LIVE ROACHES INSIDE OF SIDE TABLE NIGHTSTAND DRAWER BETWEEN THE BEDS. <br /> Complaint Mode. P Complaint -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 /> [-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 <br /> APN 07118016 <br /> Date Abated V I I V 14 Inspector ID#: ��f O <br /> Send Referral to I Y Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: �� <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE # <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> Q02 OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Cl osed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints -SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />