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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: 000044811 Site Location: 4219 E WATERLOO RD Account ID: AR0002198 <br /> Receivedby: EE0006219 DUNCAN Received Date: 10/24/2017 Print Date: 10/24/2017 9:17:43AM <br /> Assigned To: EE0009488 WONG Assigned Date: 10/24/2017 <br /> Pmgram/Element Code:3600-RECREATIONAL HEALTH PROGRAM <br /> Complainant: :ANDREA GRIMLEY Home Phone : 408-568-6694 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES THE POOL AND SPA ARE DIRTY AND BLACK AND THE GATE LATCHES ARE NOT SECURE TO POOL AREA. <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/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> --_—__----_ -------------PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0002187-CLARION INN&SUITES Owner: OW0001699-WATERLOO ENTERPRISES INC <br /> Site Location 4219 E WATERLOO RD RPiDBA CLARION INN&SUITES <br /> STOCKTON,CA 95215 RP Address 4219 E WATERLOO RD <br /> Cress 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 209-9814116 <br /> Phone :209-981-8116 Work Phone <br /> Distnct 002-MILLER,KATHERINE Location Code <br /> APN 08710009 O+ <br /> Date Abated 0& O7 Inspector ID#: O <br /> ------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <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 Reqired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Rationed to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE If RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaint Reviewed lo!� i ` ate: pate y: ate: <br /> 5104.rpt 1 1 <br />