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Complaint Investigation Form <br /> Account 10: Report#: 5104 <br /> COMPLAINT ID: C00042453 Site Location: 4219 E WATERLOO RD <br /> Print Date: 10/25/2016 12:40:28PM <br /> Receivedby: EE0000025 SEDRA <br /> Received Date: 10/25/2016 <br /> Assigned To: EE0006219 DUNCAN Assigned Date: 1012612016 <br /> pmaramlEtamiiii2t,Code 1322-SUBSTANDARD HOUSING Home Phone 91(-468-9561 <br /> Complainant :TRESSIE JAMES <br /> Work Phone <br /> Address - <br /> -Mail Address <br /> Nature ofcom taint: <br /> N <br /> COMPLAINANT ALLEGES THAT THEY STAYED IROOM 245 ON 10/18/2016.COMPLAINANT STATED THAT THE ROOM HAD BEDBUGS. <br /> PLEASE CALL COMPLAINANT WITH FINDINGS. <br /> Complaint Mode. PA-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office _ _________ — – <br /> ————— PROPERTY OWNER INFORMATION <br /> PROPERTY INFORMATION <br /> Responsible Party or Property Owner <br /> Property Name:CLARION INN&SUITES RPA)BA WATERLOO ENTERPRISES INC <br /> Site Locatlon 4219 E WATERLOO <br /> STOCKTON,CA 95215 RP Address 4219E WATERLOO <br /> STOCKTON,CA 9521515 <br /> Cross Street 99 ON RAMP Billing Address 4219 E WATERLOO RD <br /> Home Phone <br /> Work Phone <br /> Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> Date AbatedInspecor : � <br /> 1z�3� 16 tID# ( <br /> �► - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: r-� I <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <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 /> ompaint Reviewed by:CIA VE 10 ,A Date: pate y: Date <br /> 5104 rpt <br />