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CO0040759
EnvironmentalHealth
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1600 - Food Program
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CO0040759
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Entry Properties
Last modified
4/2/2020 12:15:59 PM
Creation date
2/13/2019 11:37:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0040759
PE
1600
FACILITY_ID
FA0002187
FACILITY_NAME
CLARION INN & SUITES
STREET_NUMBER
4219
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710009
ENTERED_DATE
12/3/2015 12:00:00 AM
SITE_LOCATION
4219 E WATERLOO RD
RECEIVED_DATE
12/3/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WATERLOO\4219\CO0040759.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00040759 Site Location: 4219 E WATERLOO RD Account ID: AR0002198 <br /> Received by: EE0000025 SEDRA Received Date: 12/3/2015 Print Date: 12!3/2015 9:54:07AM <br /> Assigned To: EE0009488 WONG Assigned Date: 12/3/2015 <br /> Emmmi/Element Code.-1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Nome Phone <br /> Address Work Phone ; <br /> Mail Address <br /> i <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES THAT IN THE DINING ROOM, BAR AND KITCHEN THE ROOF IS LEAKING,FALLING APART AND THERE IS <br /> ASBESTOS EXPOSURE KITCHEN SINKS ARE BACKED UP.THE DISHWASHER IS NOT WORKING. STEAM TABLES,REFRIGERATOR AND <br /> FREEZERS ARE NOT WORKING PROPERLY.THE LOBBY AND OFFICE AREA CEILINGIROOF IS ALSO FALLING IN. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-IntemetI Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> FACILITY <br /> -------------- ---_- ----------- _._---------------- <br /> FACILITY INFORMATION OWNER INFORMATION . <br /> Facility:FA0002187-CLARION INN&SUITES Owner: OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO RD RPMBA f'i�Ri(1N 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 /ZO� Inspector ID#: (A)2::::] — : . <br /> ------ --------- — ----------- --------------- -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <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 /> 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 Y 99-UNSPECIFIED-Old Complaint-No Original Found <br /> REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY MN-EHD Monitoring Status <br /> PO-Permit Issued-Pending Well lnstallation <br /> 10-POSTED SUBSTANDARDIUNSECURED-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 /> i <br /> omp aint Reviewedy: ate: p a e y: ate: <br /> 5104.rpt 11 <br />
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