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Complaint Investigation Form Report#:5104 <br /> COMPLAINT C0003d552 Site Location: 3810 N TRACY BLVD Account ID: AR0007654 <br /> Received by., EE0090753 MARTINEZ Received Date: 6/29/2009 Print Date: 6/29/2009 4:00:13PM <br /> Assigned To: EE0002089 SOOD Assigned Date: 6/29/2009 <br /> Program/Element Code:2400-HOUSING AND INSTITUTIONS PROGRAM <br /> Complainant: : <br /> ; <br /> Nature of complaint. <br /> (C)STATED HE STAYED AT HOTEL IN ROOM 105 FROM 6120109-6128109. THERE WERE BED BUGS AND SPIDERS IN THE ROOM. <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 l Correspondence O-Other EH Unit P-Phone <br /> ----------------------- ------------------------- <br /> FACILITY <br /> --- ---- ---------- ---- <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0003061-MOTEL 6#278 Owner: OW0001911 -MOTEL SIX OPERATING L P <br /> Site Location 3810 N TRACY BLVD RP/DBA MOTEL SIX <br /> TRACY,CA 95376 RP Address 14651 N DALLAS STE PKWY 500 <br /> Cross Street TRACY DALLAS,TX 75240 <br /> Mailing Address: PO BOX 117508 Billing Address PO BOX 117508 <br /> CARROLTON,TX 75011 CARROLTON,TX 75011 <br /> Nome Phone ;214-702-6882 <br /> Phone Work Phone :209-946-0923 <br /> i <br /> District 005-ORNELLAS,LEROY Location Code 03-TRACY <br /> APN 21225001 <br /> Date Abated 6710 3/d J Inspector. <br /> -- -------------------------- ------ -------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date, j <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> 08-EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> I <br /> 07-REFERRED TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> ®-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed f No Major Violations i <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 10-SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE 30-15 Day Letter Sent-Confirmed Complaint <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint COrnplalnt History i <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD Assessment Performed-No Abatement Required Attached But Not <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 52-LEAD Abatement Regired-See Program Record File Scanned <br /> 5 D4.rpt <br />