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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00038172 Site Location: 3473 W HAMMER LN Account/D AR0002033 <br /> Receivedby: EE0009058 LOWE Received Date: 6/27/2014 Print Date 6/27/2014 3:32:30PM <br /> Assigned To: EE0002424 VELOSO Assigned Date: 6/27/2014 <br /> Program/Element Code.2400-HOTEL/MOTEL PROGRAM <br /> Complainant :KAREN BRUSH Home Phone : 209-507-5092 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of com laint: <br /> (C)STATES RMS 121, 123.333 ARE ALL COCKROACH INFESTED. REFRIGERATORS BROKEN, NO SMOKE ALARMS.(#333).DOOR WILL NOT <br /> LOCK OR OPEN IN RM 121.SEE ATTACHED PHOTOS. <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 /> ]-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 Q �3-oJ,,4 Inspector ID#. VOKV'd <br /> Send Referral to /// Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:Qy <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 /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 9-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-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 Closed <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 />