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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00040760 Site Location: 4219 E WATERLOO RD Account to::AR0002198 <br /> Receivedby: EE0000025 SEDRA Received Date: 12/3/2015 Print Date: 12/3/2015 11:04:37AM <br /> Assigned To: �E--��E0006219 DUNCAN Assigned Date: 12/3/2015 <br /> ProaramiElement Code:9�A[f-HOTEU MOTEL PROGRAM <br /> Complainant: :ANONYMOUS VIA CDD Nome Phone <br /> Address Work.Phone <br /> -Mai!Address <br /> Nature ofcomplaint: <br /> LEAKING ROOF IN LOBBY AND BANQUET HALL,MOLD 1N ROOMS,FILTHY RUGS,THE TILES AND ROOF ARE FALLING. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail!Correspondence O-Other EH Unit P-Phone <br /> -Intemel l Email S-Sheriffs Office <br /> --_._. ---------- -------- <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 /> Nome Phone :209-981-8116 <br /> Phone :209-981-8116 Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> Date Abated .�( I`(I E S Inspector lD#: <br /> Send Referral to 1 Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 01 <br /> 1 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> ClFIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old,Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp aint Reviewed by; ate: Updated by: ate: <br /> OL it1 <br /> 5104,rpl <br />