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r <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000031887 Site Location: 2410 NAGLEE RD Account ID: AR0019227 <br /> Received by: EE0009058 LOWE Received Date: 4/13/2010 Print Date: 4/14/2010 8:21:33AM <br /> Assigned To: EE0002089 SOOD Assigned Date: 4/14/2010 <br /> Program/Element Code: 400-HOUSING AND INSTITUTIONS PROGRAM <br /> Complainant: ;JEFFREY Home Phone 775-851-1341 <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint. <br /> (C)STATED HIS FAMILY AND RELATIVES STAYED IN ROOMS#214&#212. AFTER STAYING AT THIS FACILITY,ALL FAMILY MEMBERS <br /> BROKE OUT WITH RED WELTS THAT DISAPPEAR&THEN REAPPEAR ON DIFFERENT PARTS OF THE BODY. FAMILY HAS BEEN TO THE <br /> QOCTOR. -(C)REQUESTS A CALL FROM INSPECTOR AFTER INSPECTION. <br /> Complaint Mode: P 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!Email S-Sheriffs Office <br /> ——— —— ——————- —————— ————— — ————--- <br /> FACILITY <br /> —FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0012064-FAIRFIELD INN Owner: OW0006694-W 2005/FARGO HOTELS(POOL C) <br /> Site Location 2410 NAGLEE RD RP/DBA <br /> TRACY,CA 95376 RP Address 600 E LOS COOLINAS BLVD j <br /> Cross Street IRVING,TX 75039 <br /> Mailing Address: 6011 CONNECTION DRIVE Billing Address 6011 CONNECTION DRIVE <br /> IRVING,TX 75039 IRVING,TX 75039 <br /> Home Phone :701-235-1060 <br /> Phone :209-833-0135 Work Phone :800-441-8444 <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 21205063 I <br /> f <br /> Date Abated - <br /> 1-7/to Inspector.' <br /> `L ------- ----- ----- --- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: oe <br /> Circle appropriate Status Code <br /> 01 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> I <br /> 07-REFERRED TO OTHER AGENCY I <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 /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 51'4_fpt <br />