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CO0050056
EnvironmentalHealth
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2400 - Hotel and Motel Program
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CO0050056
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Last modified
4/2/2020 11:17:44 AM
Creation date
8/15/2019 4:10:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2400 - Hotel and Motel Program
RECORD_ID
CO0050056
PE
2400
FACILITY_ID
FA0002187
STREET_NUMBER
4219
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710009
ENTERED_DATE
7/3/2019 12:00:00 AM
SITE_LOCATION
4219 E WATERLOO RD
RECEIVED_DATE
7/3/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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ADMIN
Tags
EHD - Public
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P_.. Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00050056 Site Location: 4219 E WATERLOO RD Account ID: AR0002198 <br /> Received by: EE0000014 MORENO Received Date: 7/3/2019 Print Date: 7/3/2019 11:52:07AM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date: 7/3/2019 <br /> Program/Element Code 2400-HOTEU MOTEL PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of com /aint: <br /> BED BUGS IN ROOM#225, PLEASE CALL BACK AFTER INSPECTION. <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-Sheriff's Office <br /> ---------------------------------------------------- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0002187-DAYS INN RP DBA <br /> Site Location 4219 E WATERLOO RD RP mailing address <br /> STOCKTON,CA 95215 <br /> Cross Street HWY 99 <br /> Mailing address 4219 E WATERLOO RD 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 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 08710009 <br /> Date Abated 2 Inspector ID#: <br /> -------------------- - -- - <br /> Send Referral to 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 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 /> 1 DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE#P249511UMS1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewed by: ate: y t p ated y: Datex <br /> 5104.rpt <br />
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