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CO0040163
Environmental Health - Public
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3600 - Recreational Health Program
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CO0040163
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Entry Properties
Last modified
4/2/2020 12:15:43 PM
Creation date
2/13/2019 11:36:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
RECORD_ID
CO0040163
PE
3600
FACILITY_ID
FA0002187
FACILITY_NAME
CLARION INN & SUITES
STREET_NUMBER
4219
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710009
ENTERED_DATE
8/10/2015 12:00:00 AM
SITE_LOCATION
4219 WATERLOO RD
RECEIVED_DATE
8/6/2015 12:00:00 AM
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WATERLOO\4219\CO0040163.PDF
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EHD - Public
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r epr <br /> • Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00040163 Site Location: 4219 WATERLOO RD Account ID: AR0002198 <br /> Received by: EE0009488 WONG Received Date: 8/6/2015 Print Date: 8/10/2015 '8:32:32AM <br /> Assigned To: EE0009488 WONG Assigned Date: 8!612015 <br /> Proaram/Eement Code:3600-RECREATIONAL HEALTH PROGRAM <br /> Complainant: :JEFFERY WONG Home Phone <br /> Address Work Phone <br /> Mal!Address <br /> Nature of complaint: <br /> POOL IS BEING USED BY GUESTS WHEN IT SHOULD BE CLOSED. <br /> complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet 1 Email S-Sheriffs 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 /> Nome Phone :209-981-8116 <br /> Phone :209-981-8116 Work Phone <br /> District 002-MILLER,KATHERINE Location Code <br /> APN 08710009 Z4 <br /> Date Abated <-7 /J Inspector ID#; <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint S to tus Code: <br /> T <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 Regired-See Program Record File <br /> 0 -DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 0u. fib FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> ompalnt Reviewed by: 13 ` g ate: Updated by: ate: <br /> 5104_rpl <br />
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