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Complaint Investigation Form Report#:5104 <br /> COMPLAINT Ib: C00051965 Site Location: 1625 E FRENCH CAMP TPKE Account ID: AR0007656 <br /> Received by: EE0000014 MORENO Received Date: 5/18/2020 Print Date: 5/18/2020 4:39:0311M <br /> Assigned To: EE0001420 NISSIM Assigned Date: 5/18/2020 <br /> Proaram/Element Code 2400-HOTEL/MOTEL PROGRAM <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> rLIGS ROOM#101 <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 0-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ---------------------------------------------- - -- - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0001722-BREVIA INN&RESTAURANT RP DBA <br /> Site Location 1625 E FRENCH CAMP TPKE RP mailing address <br /> STOCKTON,CA 95206 <br /> Cross Street DR MARTIN LUTHER KING JR <br /> Mailing address 2278 TRADE ZONE BLVD RP contact <br /> SAN JOSE,CA 95131 RP contact phone <br /> Phone 209-938-0999 <br /> Owner: OW0017751-BREVIA INN&RESTAURTANTS LLC <br /> DBA <br /> Owner address 2278 TRADE ZONE BLVD <br /> SAN JOSE,CA 95131 <br /> Billing Address 2278 TRADE ZONE BLVD <br /> SAN JOSE,CA 95131 <br /> Home Phone <br /> Work Phone 209-938-0999 <br /> District 001 -VILLAPUDUA,MIGUEL Location Code 01 -STOCKTON <br /> APN 16504019 <br /> Date Abafed !; 12,�Q ?ju Z� Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROG AM FACILITY FILE h 1 52-LEAD Abatement Reqired-See Program Record File <br /> (>7 Referred to Other Agency �,.5 v� 1 97-Disaster Planning and Response <br /> 08-Unable to Verity Alleged Complai t 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp aint Reviewed by:f <br /> ate: Updated by: <br /> 1. 2c� <br /> 5104.rpt <br />