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VJ <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050484 Site Location: 4219 E WATERLOO RD f t/ ) Account ID: AR0002198 <br /> Received by: EE0009838 RUIZ Received Date: 9/16/2019 Print Date: 9/16/2019 3:19:27PM <br /> Assigned To: EE0009819 BENIAMINE Assigned Date: 9/16/2019 <br /> Program/Element Code 1322-SUBSTANDARD HOUSING <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> rUGS IN HOTEL. COMPLAINANT SON AND AND HUSBAND HAD BITES ON ARMS AND BODY. <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 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 <br /> Mailing address 4219 E WAI LKLUO KD RP contact <br /> STOCKTON,CA 95215 RP contact phone <br /> Phone 209-981-8116 <br /> Owner: OW0001699-WATERLOO ENTERPRISES,INC. <br /> DBA DAYSINN <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 c �/ <br /> Date Abated (WVI/ Inspector ID#: <br /> ----------- ---------------------------------- -- -- -- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: S <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 RS-Resolved-New Well Installed <br /> 15 ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE 4I`o SN 01 -Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by: 'late:/()RM 'q,y p ate by: ate: <br /> 5104.rpt <br />