Laserfiche WebLink
RZ) <br /> Complaint Investigation f=orm Report#:5104 <br /> COMPLAINT ID: 000034955 Site Location: 241 N SAN JOAQUIN ST ACCountlo: AR0001540 <br /> Received by: EE0009058 LOWE Received Date: 5/8/2012 Print[late: 5/8/2012 2:54:04PM <br /> Assigned To: EE0002424 VELOSO-CACAPIT Assigned Date: 5/8/2012 <br /> Program/Element 02400-HOTEU MOTEL PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of complaint: <br /> DIRTY MATTRESS IN RM#16.MOLD IN ROOM <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail f Correspondence O-Other EH Unit P-Phone <br /> t-Internetf Emait S-Sheriff's Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001541-DELTA HOTEL Owner: OW0001203-PATEL,ARVIND <br /> Site Location 241 N SAN JOAQUIN ST RP/DBA :DFLTA HOTEL <br /> STOCKTON,CA 95202 RP Address 339 S WILSON WAY <br /> Cross Street SAN JOAQUIN STOCKTON,CA 95202 <br /> Mailing Address: 241 N SAN JOAQUIN ST Billing Address 339 S WILSON WAY <br /> STOCKTON,CA 95202 STOCKTON,CA 95202 <br /> Home Phone ;209-614-5300 <br /> Phone :209465-3732 EXT: FAX Work Phone <br /> District • Location Code <br /> APN 13913004 <br /> Date Abated ()5 0qInspector ID#: YF"2fv-11t:�!r <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:04 <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 /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Regired-See Program Reoord File <br /> 05-DA-ENFORCEMENT ACTION INITIATED ! I- 97-Disaster Planning and Response <br /> q06-EHD FACILITY-See Linked PROGRAM FACILITY FILE iA0;r� 7�Cl�0 99-UNSPECIFIED-Old Complaint-No Original Found <br /> -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 />