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own Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: 000044281 Site Location: 4219 E WATERLOO RD AccountlD: AR0002198 <br /> Receivedby: EE0000025 SEDRA Received Date: 9/12/2017 Print Date: 9/12/2017 3:30:03PM <br /> Assigned To: EE0006219 DUNCAN Assigned Date: 9/12/2017 <br /> Program/Element Code1322-SUBSTANDARD HOUSING <br /> Complainant: :SAMANTHAAND CHRIS MARKS Home Phone : 209-810-1684 <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> 9/9/17 STAYED IN ROOM 159&262.BOTH HAD MICE AND ROACHES. ROOM 152 HAD ALOT OF ROACHES.BLOODY TOWEL IN ROOM 262 <br /> AND GRAND DAUGHTER FOUND ADULT TOY IN MADE BED. <br /> Complaint Mode: P Complaint Motle Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail l Correspondence O-Other EH Unit P-Phone <br /> I-Internet I Email S-Sheriffs Office <br /> _______ ______ _____ _—— <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002187-CLARION INN&SUITES Owner: OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO RD RPiDBA CLARION INN&SUITES <br /> STOCKTON,CA 95215 RPAddress 4219 E WATERLOO RD <br /> Cross Street HW Y 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 -'-' oe y Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 ot" <br /> Date Abated oi� —1 I , -+— Inspector ID#: <br /> ------------------------------------------------ - <br /> Send Referral to <br /> Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: � <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No original Found <br /> I8 Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form St-Tank pumped <br /> 16-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> O <br /> omp aint Reviewed by: Tyly, at9A_ <br /> 4 I y I Update y. Dat <br /> 510.rpt / \ _7 1 <br />