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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> W. <br /> gyp, 800 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.so-gov.org/ehd <br /> �4tikb�`'�P <br /> HOTELIMOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: W.�/ /p /3z3 Date: <br /> ddress: 0717 City: Zip Code: 9S?n7 <br /> O <br /> wnerlOperator. �� �k <br /> Lam Telephone: zs� 5ts-/-001/y0 <br /> Program Element: Z,/-mp Program R ord:(f'p&a go 9 7 00 Inspection Type: o .,k,Ile— <br /> of Units in Facility: #of Units Inspected: Reinspection on or After: <br /> The items checked below are violations to be corrected: Room(s): <br /> ❑ 1 Restrooms:clean; properly maintained;hot(?110°F)&cold running water;fully operational;separate <br /> male&female if not in room. <br /> ❑ 2 I„„fighting&Ventilation:properly operated&maintained;adequate amount of natural&electric lighting; <br /> adequate ventilation. <br /> ❑ 3 Cleanliness: clean&sanitary; no accumulation of vegetation,debris,trash,offal,combustibles or <br /> similar materials. <br /> ❑ 4. Floors: clean;properly covered; in good repair;of sufficient size to carry imposed loads. <br /> 1❑ 5. Walls&Ceilings: in good repair;sufficient to carry imposed loads; height of 7'6"in habitable spaces. <br /> ❑ 6. Fire Extinguishers: provided&maintained; charged;strapped to walls; inspected annually. <br /> ❑ 7 Pest Control:free from infestation of insects,vermin or rodents;screens on windows;adequate <br /> prevention used. <br /> ❑ 8 Heating:approved type; installed&maintained in safe condition;in each dwelling unit; 70°F at 3 feet <br /> off the floor. <br /> ❑ 9. Smoke Detectors: provided&maintained; in every dwelling unit; properly functioning. <br /> ❑ 10 Garbage Receptacles:adequate number;close fitting covers; in every dwelling unit;clean and in good <br /> repair. <br /> ❑ 11 Drinking Utensils&Ice Buckets:protected from contamination; properly washed&sanitized after <br /> each use(multi-use);individually wrapped(single use). <br /> ❑ 12 Bedding:free from infestation,filth&foul matter;changed before new guest;kept clean,dry& <br /> sanitary. <br /> ❑ 13. Exits:adequate number;properly maintained; in good repair. <br /> ❑ 14. Electrical: adequate;properly maintained;safe&fully operational. <br /> ❑ 15. Stairs: in good repair;hand rails properly attached. <br /> ❑ 16. Mechanical:adequate;properly maintained;safe&fully operational. <br /> LJ 17 Weatherproofing:adequate waterproofing; paint or other protective covering; no leaks or dampness of <br /> habitable rooms. <br /> ❑ 1$. Occupancy:only rooms permitted for habitation are occupied; proper room&space dimensions. <br /> ❑ 19. Plumbing:connection to proper sewage system; properly maintained;safe&fully operational. <br /> ❑ 20. Structural: adequate foundation in good repair;safe&adequate construction materials <br /> ❑ 21. Maintenance: in good repair; properly functioning kitchen sink; lack of other nuisance. <br /> ❑ 22. Public Areas:any violations in kitchen, hallways,or other publicly shared spaces. <br /> Rooms inspected: *ZZj(-' 4f-e)cVA41-eel 64rw6vS' 01-Z-1001 /e a-.n' 6 e <br /> n, 74 / a:i , c+C'tirt sem, <br /> rip.str, av/� ��' i�✓.s r�'. /N.+f�r .....t b.,�,�a�...s ..+i�r Lt •—+�a6.e.ate. �/e�'Q <br /> ola,�CS i,",F ee �.ss� rY�3'P�e�'oe, rrs rJo ♦-i....� ... <br /> u <br /> SII violations in rooms not inspected must also be corrected. <br /> L7 All fire extinguishers and smoke detectors must be operational at all times. ( l I$ <br /> All EHD staff time associated with failing to comply by the above noted dates will a billed at the current hourly rate.+lIVE�- <br /> Pest control man used: amu/ How often: <br /> Received By I Title: <br /> Environmental Health Specialist Phone: Page 1 of <br /> EHD 24-01 See Reverse Side For Additional Information HOTELIMOTEL OR <br />