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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000031096 Site Location: 241 N SAN JOAQUIN ST + AccountlD: AR0001540 <br /> Received by: EE0090753 MARTINEZ Received Date: 10/13/2009 Print Date:10113/2009 11:21:40AM <br /> Assigned To: EE0002424 VELOSO-CACAPIT Assigned Date: 10/13/2009 ; <br /> Proaram/Etement Code: 400-HOUSING AND INSTITUTIONS PROGRAM <br /> Complainanf: :ANGELEAN Nome Phone 209430-5131 <br /> Address : Work Phone <br /> E-Mail Address <br /> Nature of Complaint. <br /> FSTATED SHE HAS BED BUGS, MITES,AND SCABIES 1N HER BED AND ROOM. (C)'S DOCTOR VERIFIED HER CONDITION ON FRIDAY. <br /> i <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> --------------------------------------- <br /> FACILITY <br /> ------------ ------- --- ---- ------FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001541-DELTA HOTEL Owner: OW0001203-PATEL,ARVIND <br /> Site Location 241 N SAN JOAQUIN ST' }7 RP/DBA DELTA HOTEL <br /> STOCKTON,CA 95202 RP Address 339 S WILSON WAY <br /> Cross St-el SAN JOAQUIN STOCKTON,CA 95202 <br /> Mailing Address: 241 N SAN JOAQUIN ST Billing Address 339 S WILSON WAY <br /> STOCKTON,CA 95202 <br /> 2 Rr41D STOCKTON,CA 95202 <br /> 57 ]SQ2 Home Phone :209-614-5300 <br /> Phone :209-465-3732 Work Phone <br /> District 001-VILLAPUDUA Location Code 01 -STOCKTON <br /> APN 13913004 <br /> Date Abated _ .111 r tog Inspector. Y2 It <br /> -- — ----- ------- --- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: n <br /> Circle appropriate Status Code <br /> 01 FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> OFFICE ABATED 52-LEAD Abatement Regired-See Program Record File <br /> 03-NRI 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 Complaint History <br /> 07-REFERRED TO OTHER AGENCY Attached But Not <br /> 08-UNABLE TO VERIFY Scanned <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 /> 104.rpt <br />