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+ M <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00028075 Site Location: 241 N SAN JOAQUIN STccountlD: 0001540 <br /> Receivedby EE0007380 SHIH Received Date: 4/14/2008 Print Date: 41 /2008 2:15:01 PM. <br /> Assigned To: EE0000369 BIEDERMANN Assigned Date: 4/14/200 <br /> Proaram/Element Code:2400-HOUSING AND INSTITUTIONS PROGRAM \ ' <br /> Complainant: : Nome Phone <br /> Address Work Phone <br /> Mature of com faint: <br /> TENANT COMPLAINED THAT ROOMS 1.7,21,AND 28 ARE DIRTY.TENANTS WERE BIT AND ITCHED AFTER SLEEPING IN THE BED. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> — ------------ ------ <br /> FACILITY INFORMATION OWNER --------INFORMATION <br /> Facility:FA0001541-DELTA HOTEL Owner: OW0001203-PATEL,ARVIND <br /> Site Location 241 N SAN JOAQUIN ST RP/DBA DELTA HOTEL <br /> STOCKTON,CA 95202 RP Address 339 S WILSON WAY <br /> STOCKTON,CA 95202 <br /> Mailing Address: 339 S WILSON WAY Billing Address 339 S WILSON WAY <br /> STOCKTON,CA 95202 STOCKTON,CA 95202 <br /> Nome Phone :209-465-3732 <br /> Phone :209465-3732 f Work Phone <br /> District 004-VOGEL,KEN Location Code 01-STOCKTON <br /> APN 13913004 <br /> Date Abated '0 ILS Q A Inspector: 2Y,�A <br /> ------�------ -- ---------------J----._ --__ ----- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> i <br /> -i <br /> Complaint Status Cod M 1 <br /> Circle a 1"opriate Status Code <br /> 01)FI ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04_7 NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-'ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 06-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed'/No Major Violations <br /> 29-FOODBORNE ILLNESS-Major 09 jor Violations Identified <br /> FOODBORNE ILLNESS <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint Complaint History <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Attached But Not <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD HAZ EVALUATION REQUIRED(1) Scanned <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 51-LEAD HAZ WORK PLAN SUBMITTED(2) <br /> I <br /> I <br /> I <br /> ENTERED <br /> 5104,rpt <br />