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on", Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID.,C00044801 Site Location: 4219 E WATERLOO RD Account ID. AR0002198 <br /> Recoivedby.: EEOQO0035 HERNANDEZ Received Date: 10/23/2017 <br /> Print Date: 10/23/2017 10:00:27AM <br /> Assigned To: EE0006219 DUNCAN <br /> Assigned Date: 10/23/2017 <br /> Program l m nt ode:1322-SUBSTANDARD HOUSING <br /> Complainant :ANDREAGRIMLEY Home Phone <br /> Address : 408-568-6694 <br /> Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> SEEN ROACH IN HALLWAY OF SECOND BUILDING.BLACK WIDOWS IN ROOM 138.DAUGHTER BIT UP BY MAYBE FLEAS OR BED BUGS. <br /> VERY DIRTY FACILITY,MESSY,WEBSALL OVER,POOLAND SPADIRTYAND BLACK,LATCHES NOT SECURE TO POOLAREA,WINDOWS <br /> NOT SECURE WITH SCREENS,SMELLY PLACE. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C_ <br /> Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/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 I2 I RPiDBA CLARION INN&SUITES <br /> STOCKTON,CA 95215 RPAddress 4219 E WATERLOO RD <br /> Cross Streat HWY99 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 :209-981-5116 Work Phone <br /> Distdct 1 — �J I W K Location Code 99_ <br /> UNINCORPORATED AREA <br /> APN 04710009 <br /> ———Date Abated I LI ,Z'l I I Inspector ID#: <br /> ————————————— <br /> Send Referral to Referral Letter Sent by <br /> Referral Address <br /> Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Responsemolations Cited and Connected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Re ired- <br /> q See Program Record File <br /> OB-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to OtherAgency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> Unable to Verity 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 S1-Tank pumped <br /> 15-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 /> ompamt eviewed y: <br /> atepate y: <br /> Date: L- <br /> ��-1r <br /> 51g4.rp1 4 <br />