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�,,;,� SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT u):.....r. .-.. { 1868 East Hazelton Avenue, Stockton, CA 95242-6232 • Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.s ov.or /ehd HOTEVMOTEL OFFICIAL INSPECTION REPORT FAddress: of Facility: IgUO&C-T jNN & tPU1T&S OF Vr DCK1'0JJ Inspection Date: pg 3433 W tib mEK LAI.Ix-10& c7'o1�1 PE: 2yvl7PCOOc73(®S10 r/Operator: XM E pfoTEiL IIl1 G j<0jW<!► Phone: y�3_ Z000 ❑ Annual Inspection XComplaint inspection ❑ Consultation Inspection ❑ Re-Inspection #Units in Facility: # Units Inspected: Reinspection On or About: The items checked below are violations to be corrected. See Reverse Side of this Form for Detailed Summary of Violations and Code References. Room(s): ❑ Room Cleanliness: Lack of cleanliness&sanitation;Accumulation of debris,trash, garbage,combustible items or similar materials. Room Maintenance:General lack of repair or improper maintenance; Broken or non- functioning sink/toilet/bath; Lack of hot water. Floors: Not clean, properly covered or in i ❑ 2. good repair.Walls&Ceilings:Walls/ceilings in need of cleaning or repair: Holes,water damage, peeling or deteriorating paint; Dampness or excessive moisture in room. ❑ 3' Heating: Lack of approved heating in each unit; Approved heater not maintained in a safe, working condition; Lack of adequate heat(Standard:707 at 3 feet from floor). Drinking Utensils&_Ice Buckets: Not protected from contamination; Lack of or improper ❑ 4. washing&sanitizing after each use(multi-use); Lack of or improper prolective bagging (multi-use)or individual protective wrapping(single-use). ❑ Bedding: Mattress/linens infested with lice, bedbugs, or other insects; Not free from filth or 5. foul matter; Unsafe; Linens not changed weekly or before new guest. F-1 6 Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate close fitting covers;Garbage receptacles unclean or in disrepair. ❑ 7. Public Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways,exits, or other publicly shared spaces. s. Pest Control: Infestation of insects,vermin or rodents. /f tO 61/4S /Z$ /Z--9- ❑ 9. Other Nuisance:Any other condition which is hazardous to health. Other Substandard or Unsafe Conditions: Electrical,structural,.or plumbing hazards; Lack ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate protection from weather; Inadequate sewage or water facilities. Pest control Used? Yes ❑ No Company Name: 091<1A/ Frequency: Hotel/Motel Business License? ❑Yes ❑ No Multi-Jurisdictional Violations to be Referred to: ❑City Building/Code.Enforcement/Fire❑County Code Enforcement/Fire ❑ Other Rooms inspected: i'Z P a-7-- Comments: C49141atRh.. l- 1(MCIV60 orl OS llifi, rs rTnrte- 66c7 504-r R-),JO rjLTn-/ CoNplTi f r #&1/6 NorW r"cjLj" • Fwo arl' rF P17T1`MPIrP ro cgAjrnc-r ti4 coMPz Njh.tt t4VLT10FLE M46S Tu ro&r 000PI NVA46M 6Y7 w+9�r 60M0Ou77047- Ite!"CIVW .0p Od 21 Zolt. f1j)97E1' 6W 6uj( r' 1N /LOO.n rr 125. ,rte ri�Iols 2 s All violations in rooms not inspected must also be corrected. All re-inspections by the Environmental Health Department will be billed at the current hourly rate. Received By: %4- Title: Environmental Health Speaalist: 14 Phone: yb p_9 �. Page 1 of 2 EHD 24-01 4-30-12 HOTEL/MOTEL 01R