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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00044695 Site Location: 1625 E FRENCH CAMP TURNPIKE Account ID: AR0007656 <br /> Receivedby: EE0000001 TURKATTE Received Date: 110/512017 Pdnt Date: 10/5/2017113858AM <br /> Assigned To: EE0000001 TURKATTE Assigned Date: 10/5/2017 <br /> Emcram7Element Code:2400-HOTEL/MOTEL PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of com laint: <br /> COMPLAINANT ALLEGES MATTRESS HAD BLOOD STAINS, DUCT TAPE HOLDING BOX SPRING TOGETHER,COILS COMING OUT OF BOX <br /> SPRING. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I 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 /> --------------------------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0001722-BREVIA INN&RESTAURANT Owner: OW0017751 -BREVIA INN&RESTAURTANTS LLC <br /> Site Location 1625 E FRENCH CAMP TPKE RPIDBA <br /> STOCKTON,CA 95206 RP Address 2278 TRADE ZONE BLVD <br /> Cross Street 1-5 OFF RAMP SAN JOSE,CA 95131 <br /> Mailing Address: 2278 TRADE ZONE BLVD Billing Address 2278 TRADE ZONE BLVD <br /> SAN JOSE,CA 95131 SAN JOSE,CA 95131 <br /> Home Phone <br /> Phone :209-938-0999 Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 16504019 <br /> Date Abated (l(R(r) Inspector ID#: <br /> Send Refena/to ll �LReferral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O-7 <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> t07F Refferred to Other Agency(rte fF 5% <br />