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Vv'" <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050403 Site Location: 3473 W HAMMER LN Account ID: <br /> Received by: EE0001420 NISSIM Received Date: 8/30/2019 Print Date: 8/30/2019 4:38:0811M <br /> Assigned To: EE0001420 NISSIM Assigned Date: 8/30/2019 <br /> Prooram/Element Code 1322-SUBSTANDARD HOUSING <br /> Complainant: <br /> <br /> <br /> Nature of com /aint: <br /> COCKROACH INFESTED HOTEL. <br /> Complaint Mode: I 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 INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 3473 W HAMMER LN RP mailing address <br /> STOCKTON,CA 95219 <br /> Cross Street MARINERS <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:RME HOTEL INC <br /> DBA <br /> Owner address <br /> Billing Address 29933 BELLO VIEW PL <br /> HAYWARD,CA 94544 <br /> Home Phone <br /> Work Phone <br /> District 003-PATTI,TOM Location Code 01 -STOCKTON <br /> APN 07118016 p _ Q <br /> Date Abated J/0/j/ Inspector ID#: <br /> ----------------------------------------------- --- --- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: i7 <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 /> 0 Violations Cited-see Linked PROGRAM FACILITYY FILE 1, 52-LEAD Abatement Reqired-See Program Record File <br /> Referred to Other Agency C I '� of' 3tock- -o 7' 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 aint Reviewed y: ►/'� ate: , / p ate y: <br /> 5104,rpt I , <br />