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Complaint Investigation Form Report#:5104 <br /> `COMPLAINT ID: C00053489 Site Location: 3810 N TRACY BLVD#220 Account ID: AR0007654 <br /> Received by: EE0009830 SAUERS Received Date: 2/25/2021 Print Date: 2/25/2021 11:41:52AM <br /> Assigned To: EE0008987 SANGALANG Assigned Date: 2/25/2021 <br /> Program/Element Code 2400-HOTEL/MOTEL PROGRAM <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> COMPLAINANT STAYED IN ROOM 220.COMPLAINANT ALLEGES THEY WOKE UP WITH BED BUG BITES AND YOU CAN ACTUALLY SEE THE <br /> BED BUGS.COMPLAINANT HAS PHOTOS. <br /> —PLEASE CALL COMPLAINANT. <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-Internet/Email S-Sheriff's Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Facility:FA0003061-MOTEL 6#9331 RP DBA <br /> Site Location 3810 N TRACY BLVD RP mailing address <br /> TRACY,CA 95376 <br /> Cross Street <br /> Mailing address PU BUX 2145 RP contact <br /> FRISCO,TX 75034 RP contact phone <br /> Phone 209-836-4900 <br /> Owner: OW0001911-D TRAC HOTEL LLC <br /> DBA MOTEL 6 TRACY <br /> Owner address 8762 PRESTON TRACE BLVD <br /> FRISCO,TX 75033 <br /> Billing Address PO BOX 2145 <br /> FRISCO,TX 75034 <br /> Home Phone 972-704-1996 <br /> Work Phone 775-250-1810 <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN 21225001 <br /> Date Abated /Z4/2,( 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 PRO RAM FOCILITY FILE L 52-LEAD Abatement Reqired-See Program Record File <br /> 07 eferred to Other Agency O �� �" / 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complain/ SS� 3(0 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: ate: F Updated y: ate: `O <br /> 3 <br /> 5104.rpt <br />