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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00037086 Site Location: 4219 E WATERLOO RD AccountlD: AR0002198 <br /> Received by: EE0003611 GIRARD] Received Date: 10/4/2013 Print Date: 10/7/2013 3:46:40PM <br /> Assigned To: EE0006219 DUNCAN Assigned Date 10/4/2013 <br /> Program/Element Code:1322-SUBSTANDARD HOUSING <br /> Complainant: ERIKA THOMAS Home Phone 408-382-1300 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> ROOM 130 HAS BED BUGS <br /> Complaint Mode. p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-IntemetI Email S-Sheriffs Office <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002187-CLARION INN&SUITES Owner: OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO RD RP/DBA CLARION INN&SUITES <br /> STOCKTON,CA 95215 RP Address 4219 E WATERLOO RD <br /> Cross Street HWY 99 STOCKTON,CA 95215 <br /> Mailing Address: 4219 E WATERLOO RD Billing Address 4219 E WATERLOO RD <br /> STOCKTON,CA 95215 STOCKTON,CA 95215 <br /> Home Phone :209-981-8116 <br /> Phone :209-981-8116 Work Phone <br /> District 004-VOGEL,KEN Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> Date Abated 1 O 'a I I Inspector ID#: � L <br /> Send Referral to ` Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 01)FIELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 04-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> 05-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 5104 rpt <br />