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., Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: 000050026 Site Location: 4219 E WATERLOO ROAD AccountlD. AR0002198 <br /> Received by: EE0009819 BENIAMINE Received Date: 6/27/2019 Print Date: 6/27/2019 2:38:34PM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date: 6/27/2019 <br /> Program/Element Code 1322-SUBSTANDARD HOUSING <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> FIRST TO LEFT OF BAR(A), 1 ST FLOOR MIDDLE OF HALLWAY DEAD MOUSE AND COCKROACHES. STAYED AROUND 06/21/2019 DA'r- <br /> Complaint Mode: C Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence 0-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002187-DAYS INN RPDBA <br /> Site Location 4219 E WATERLOO RD RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street <br /> Mailing address 4219 t WAI hKLUU KD RP contact <br /> STOCKTON,CA 95215 RP contact phone <br /> Phone 209-981-8116 <br /> Owner: OW0001699-WATERLOO ENTERPRISES,INC. <br /> DBA DAYS INN <br /> Owner address 4219 E WATERLOO RD <br /> STOCKTON,CA 95215 <br /> Billing Address 4219 E WATERLOO RD <br /> STOCKTON,CA 95215 <br /> Home Phone 209-981-8116 <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> Date Abated 7/3/11 Inspector/D#: StA.-------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: IS <br /> Circle appropriate Status Code <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 /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form ,,�C[J RS-Resolved-New Well Installed <br /> ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE#�na 7�Z3 1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by: Date: t,� pate y: q� <br /> 5104.rpt u 1 <br />