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Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: 000043495 Site Location: 4219 E WATERLOO RD Account/): <br /> Receivedby: EE0000025 SEDRA Received Date: 5/17/2017 <br /> Assigned To: EE0006219 DUNCANAssigned Date: 5/17/2017 Print Date: 5/17/2017 4:51:10PM <br /> P/coram / m nt Code,1322-SUBSTANDARD HOUSING <br /> Complainant: :LUCY RAYMOND Home Phone <br /> Address : 831-214-9718 <br /> Work Phone <br /> -Mail Address <br /> Nature of co /aint. <br /> COMPLAINANT ALLEGES THEY STAYED AT FACILITY ON 5/13/2017 IN ROOM 246.ROOM SMELLED BAD AND WAS INFESTED WITH FLEAS. <br /> COMPLAINANT SAW DOCTOR ON 5/17/2017 WHO CONFIRMED FLEA BITES. <br /> Complaint Mode: p Complaint Motle Codes A- enc Refenal <br /> � Y B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> _________________--- — <br /> I-Intemet/Email S-Sheriffs Office <br /> —————————————————————— <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name:CLARION INN&SUITES Responsible P <br /> Site Location p arty or Property Owner <br /> 4219 E WATERLOO RPrDBA WATERLOO ENTERPRISES INC <br /> STOCKTON,CA 95215 RP Address 4219 E WATERLOO RD <br /> Cmss Street 99 ON RAMP <br /> STOCKTON,CA 95215 <br /> Billing Address 4219 E WATERLOO RD <br /> Phone Home Phone <br /> ' Work Phone <br /> District 004-WINN,CHARLES Location Code 99- AREA <br /> APN 08710009 <br /> Date Abated413 <br /> . 13 'I } Inspector ID#: <br /> ___-----T_--- — OfL <br /> Ann <br /> Send Referral to <br /> Re/arra/Address Referral Letter Sent by <br /> Date: <br /> Complaint Status Code: O� <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE 0 <br /> 01-Field Response-Violations Cited and Ccrrectetl <br /> 26-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Pedorn ed-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-Reffemed to Other Agency <br /> Ue- nable to Verify Alleged Complaint 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 /> ompaint ewewe y: <br /> e e: � y�/•} Pate y: <br /> ate: / <br /> 5704.rpt <br />