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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00050029 Site Location: 4219 E WATERLOO ROAD Account ID: <br /> Received by: EE0001420 NISSIM Received Date: 6/27/2019 Print Date: 6/27/2019 3:24:54PM <br /> Assigned To: EE0078788 FAHMY Assigned Date: 6/27/2019 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> BAR HAD COCKROACHES. BATHROOM LACKED WARM WATER,SOAP AND PAPER TOWELS. <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 O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name:DAYS INN WATERLOO RP DBA <br /> Site Location 4219 E WATERLOO RD RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:WATERLOO ENTERPRISES INC <br /> DBA DAYS INN WATERLOO <br /> Owner address <br /> Billing Address 4219 E.WATERLOO ROAD <br /> STOCKTON,CA 95215 <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> Date Abated 071o&?IlqInspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: r I <br /> Circle appropriate Status Code J_L <br /> 0 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 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 /> omp amt Reviewed by: 1 2t ` ( Date: Updated by: ate: <br /> 5104.rpt C <br />