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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00023325 Site Location: 4219 E WATERLOO RD <br /> Account 1D: AR0002198 <br /> Received by: EE0009058 LOWE <br /> Received Date: 917!2005 Print Date: 9/7/2005 11.54:19AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 9!712005 <br /> Prooram/Efement Code:1600-FOOD PROGRAM <br /> Complainant: : MIKE(SISTER WAS FIRED) Home Phone <br /> Work Phone r <br /> Address <br /> Nature of complaint.- <br /> 4 <br /> om laint:4 FOOD WORKERS ARE EMPLOYED IN THE RESTAURANT AND ARE GETTING BLISTERS ON THEIR HANDS FROM SOMETHING. ALSO <br /> CEILING IN THE KITCHEN IS FALLING DOWN. <br /> Complaint Mode PComplaint Made Codes A-Agency Referral B-Bd of Supervisors i City Council C-Counter <br /> P <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> E ----------------------------- <br /> FACILITY INFORMATION —f OWNER INFORMATION <br /> Facility:FA0002187-BEST WESTERN STOCKTON INN Owner. OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO AD RP/DBA BEST WESTERN STOCKTON INN <br /> STOCKTON,CA 95215 RPAddress 2210 S MANTHEY RD <br /> STOCKTON,CA 95206 <br /> Mailing Address: 4219 E WATERLOO RD Billing Address 4219.E WATERLOO RD <br /> STOCKTON,CA 95215 STOCKTON,CA 95215 <br /> Nome Phone <br /> Phone Work Phone <br /> District 002-MARENCO,DARIO Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 V l R t%AN ,„.D <br /> f �r Y.�. <br /> Date Abated ��1 inspector: 644 3 <br /> Send Referral to f II Referral Letter Sent by' <br /> Referral Address Date: <br /> Complaint History <br /> Complaint Status Code: At�C Gem Not <br /> ed <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-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 <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Confirmed <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 50-LEAD HAZ EVALUATION REQUIRED(1) <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# 51 -LEAD HAZ WORK PLAN SUBMITTED(2) <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 52-LEAD HAZ ABATEMENT IN PROGRESS(3) <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 53-LEAD HAZ VISUAL INSPECT SATISFACTORY(4) <br /> i <br /> 5104.rpt <br />