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Complaint Investigation Form Report It 5104 <br /> COMPLAINT ID: C00042808 Site Location: 4219 E WATERLOO RD Account ID. AR0002198 <br /> Receivedby.: EE0000025 SEDRA Received Date: 1/17/2017 Print Date: 1/17/2017 3.20.46PM <br /> Assigned To: EE0009488 WONG Assigned Date: 1/17/2017 <br /> PrearamrE/ement 1600-FOOD PROGRAM <br /> Complainant: :KEVIN YATES Home Phone : 209-405-8404 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT STAYED AT FACILITY FROM 12/20/2016 TO 1/18/2017 AND ALLEGES THAT THE KITCHEN IS MISSING TILES AND BASEBOARDS. <br /> THERE IS GREASE ACCUMULATION 1/2 INCH THICK UNDER THE FRYER,MICE RUN AROUND THE KITCHEN, KITCHEN ROOF LEAKS,ROOF SF <br /> ROCK IS NOT SEALED,DRY STORAGE CONTAINERS AND SHELVES ARE DIRTY, NO AIR GAPS UNDER SINKS,WRONG SHELVING IN COOLER <br /> FOOD IN COOLERS DO NOT HAVE EXPIRATION DATES71MES,EMPLOYEES DO NOT HAVE FOOD HANDLERS CARDS,PITCHERS ARE BEING <br /> IN ICE MACHINE IN THE BAR AREA. <br /> Complaint Made: C 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-Intemet/Email S-Sheriff's Once <br /> ----------- - -------------------------------- ---- - <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002187-CLARION INN&SUITES Owner: OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO RD RPrDBA CLARION INN&SUITES <br /> STOCKTON,CA 95215 RP Address 4219 E WATERLOO RD <br /> Crass Street HWY 99 ON RAMP 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 n Work Phone <br /> District 004-W INN,CHARLES n /� Location 99-UNINCORPORATED AREA <br /> APN 011 9 G 1 I LV <br /> Date Abated Inspector ID#: <br /> Send Referral to Referral Letf lr by <br /> Referral Address I Date: <br /> Comp/alnt Status Code: a t✓ 0 <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 00 -Field Response-Violabons Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-ReRerred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation 1 <br /> ��10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed A <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omplaint Reviewed ^ Date Updated <br /> 5104 rpt L <br />