Laserfiche WebLink
F. ' Complaint Investigation Form Report#:5104 <br /> +COMPLAIN ID: C00034996 Site Location: 4219 WATERLOO RD Account ID: AR0002198 <br /> Received by: EE0090753 MARTINEZ Received Date: 5/2112012 <br /> Print Date: 5/21/2012 3:28:24PM <br /> Assigned To: EE0001084 RAMIREZ <br /> Assigned Date: 5121!2012 <br /> PmgramlElefl2ent Cog!p,-1600-FOOD PROGRAM <br /> Complainant: ;ANON <br /> Nome Phone <br /> Address • <br /> Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> COCKROACH PROBLEM IN KITCHEN <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors f City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail t Correspondence O-Other EH Unit P-Phone <br /> I-Intemet t Email S-Sheriff's Office <br /> --——————————————————————— _ _ <br /> FACILITY INFORMATION OWNER INFORMATION — <br /> Facility:FA0002187-CLARION INN&SUITES Owner: OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO RD RP/DBA :CLARION INN&SUITES <br /> STOCKTON,CA 95215 RP Address 4219 E WATERLOO RD <br /> Cross Street HWY 99 STOCKTON,CA 95215 <br /> Mailing Address: 4219 E WATERLOO RD Billing Address 4219 E WATERLOO RD <br /> STOCKTON,CA 95215 STOCKTON,CA 95215 <br /> Home Phone :209-981-8116 <br /> Phone ;209-981-8116 Work Phone <br /> District Location Code <br /> APN U5 11 UUU9 <br /> Date Abated S 'LC{ Z Inspector ID <br /> L- -- --- ------------------------ <br /> Send <br /> ----- ------, __Send Referral to Referral Letter Sent by <br /> Referral Address <br /> Date., <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05--DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 166?EHO FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing Fite <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104.rpt <br />