Laserfiche WebLink
pcLv!N SAN JOAQUIN COUNTY <br /> D� c�` ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br /> ' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FORN HOTEUMOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: ( 1JO&C-T INN gr VVIT&S OF �,rmcKrCON) Inspection Date: <br /> Address: 3y�3 W HIM MEiC LN. ✓'10C,XX J PE' 2Yeo PC4 (i8/O <br /> Owner/Operator: l'M E 00T_EL /AI G IQ¢IY//l 1 Phone: 00 <br /> ?A <br /> ❑ Annual Inspection XComplaint Inspection ❑ Consultation Inspection ❑ Re-Inspection <br /> # Units in Facility: __T#­Units Inspected: Reinspection On or About: <br /> The items checked below are violations to be corrected. <br /> See Reverse Side of this Form for Detailed Summary of Violations and Code References. Room(s): <br /> El 1 Room Cleanliness: Lack of cleanliness&sanitation; Accumulation of debris,trash, <br /> garbage, combustible items or similar materials. <br /> Room Maintenance: General lack of repair or improper maintenance; Broken or non- <br /> F-1 2 functioning sink/toilet/bath; Lack of hot water. Floors: Not clean, properly covered or in <br /> good repair. Walls& Ceilings:Walls/ceilings in need of cleaning or repair: Holes, water <br /> damage, peeling or deteriorating paint; Dampness or excessive moisture in room. <br /> ❑ 3 Heating: Lack of approved heating in each unit; Approved heater not maintained in a safe, <br /> working condition; Lack of adequate heat(Standard:70°F at 3 feet from floor). <br /> Drinking Utensils& Ice Buckets: Not protected from contamination; Lack of or improper <br /> ❑ 4. washing& sanitizing after each use(multi-use); Lack of or improper protective bagging <br /> (multi-use)or individual protective wrapping(single-use). <br /> ❑ 5 Bedding; Mattress/linens infested with lice, bedbugs,or other insects; Not free from filth or <br /> foul matter; Unsafe; Linens not changed weekly or before new guest. <br /> ❑ s Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate <br /> close fitting covers; Garbage receptacles unclean or in disrepair. <br /> ❑ Public Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways, exits, or other <br /> 7. <br /> publicly shared spaces. <br /> s. Pest Control: Infestation of insects,vermin or rodents. /stO 6!/(,l <br /> ❑ 9. Other Nuisance:Any other condition which is hazardous to health. <br /> Other Substandard or Unsafe Conditions: Electrical,structural,or plumbing hazards; Lack <br /> ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate <br /> protection from weather; Inadequate sewage or water facilities. <br /> Pest control Used? Yes ❑ No Company Name: 09KIAJ Frequency: <br /> Hotel/Motel Business License? ❑Yes ❑ No <br /> Multi-Jurisdictional Violations to be Referred to: ❑ City Building/Code Enforcement/Fire ❑ County Code Enforcement/Fire❑ Other <br /> Rooms inspected: /2p /2-�- <br /> Comments: GO010L1T7).►T KtC6j✓L50 orl 08 ly1?,0►g 6L5o 6v6-r- !t�,10 fi,,rn,/ CoNO�na,�s <br /> 6'r 060116 N011`0 MCAL►fh • END v'T►fil`F /1TTEM10In0 TO GOAJMC-r 171E c0MpL,97N4-14t <br /> F4VLTirLE V7 46S To rvc`T /100r1 NvM,46M 6v7 r✓qr vNfvCcfJrfvL. /`INOrML52 GOMPL/1).rT <br /> RFren1co Ori 06 2► 201 fP37Ef 15 CO 6U6-r iN /Loom 'r /28. <br /> �r tr ►'/9To t` 2 <br /> All violations in rooms not inspected must also be corrected. <br /> All re-inspections by the Environmental Health Department will be billed at the current hourly rate. <br /> Received By: ,�' Title: <br /> Environmental Health Specialist: Phone: 46P,9eyJ Page 1 of Z <br /> EHD 24-01 4-30-12 HOTEL/MOTEL OR <br />