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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000048145 Site Location: 4219 E WATERLOO RD Account ID: <br /> Received by: EE0000007 MORELLI Received Date: 12/28/2018 Print Date: 12/28/2018 2:07:35PM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date., 12/28/2018 <br /> <br /> CLARK Home Phone 901-691-6742 <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> BED BUGS INFESTATIONS. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-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 <br /> - -- -- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 4219 E WATERLOO RD RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street 99 ON RAMP <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:WATERLOO ENTERPRISES <br /> DBA <br /> Owner address <br /> Billing Address 4219 E WATERLOO RD <br /> STOCKTON,CA 95215 <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> DateAbated I / I T/ $ Inspector/D <br /> -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 7S <br /> Circle appropriate Status Code V <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> ,0,�7-Referred to Other Agency 97-Disaster Planning and Response <br /> V Unable to Verity Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File , MN-EHD Monitoring Status <br /> Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 122-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewed y: Date. r j pate y <br /> 5104.rpt <br />