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SAN JOAQUIN COUNTY <br /> 0 <br /> u G ENVIRONMENTAL HEALTH DEPARTMENT <br /> x{ <br /> 600 East Main Street, Stockton, CA 95202-'3029 COMPLAINT <br /> \° Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd COP <br /> HOTEL/MOTEL OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: r) r L.T 9 00-r it L. DATE: 0 Lf 15/cg <br /> ADDRESS: 2 LI IN s-A N S T. CITY: Y 7t7(i<T(2 N ZIP CODE: q -5Z p2 <br /> OWNERIOPERATOR: n RV I NJ 1) PA-T F-L TELEPHONE:( <br /> PROGRAM ELEMENT: 144�� PROGRAM RECORD: (J 2 L1O�� � INSPECTION TYPE: co tips„� i N T <br /> Facilities operating without a valid permit are subject to closure. Transfers of ownership not reported within <br /> thirty (30) days from the recorded date of transaction are subject to the base permit fee plus 100% penalty. <br /> Public Areas struct. Maint. The marked items represent Health Code Violations and must be corrected as follows: <br /> Electrical Wiring <br /> Plumbing ef( ENED rOMpi-./1IN7 C'0002W07-5- J-7H7Cs /f/,17 <br /> Foundation <br /> Fire Safety l7, 2 ! , 29 5r1C o1n 7,1, 7t-, )J/,/7 J' WrriC- /3/7 �1 <br /> Mechanical Equipment <br /> Floors 17CNEra !jFTE(i -rLEtP/NG /A) 7NL- 15 EV . <br /> Roof <br /> Exterior Walls <br /> Interior Walls/Ceilings <br /> Stairs ` <br /> Toilet/Baths _ <br /> Light&Ventilation <br /> Occupancy <br /> Vermin v �l)jig ryom h ry rr 1'Q, f A o <br /> Refuse a <br /> Pool mtll ; ;nor rffhk !T 0vt <br /> Units f Grp <br /> Electrical Wiring / re 60f <br /> Plumbing <br /> Fire Safety Kl�t' N = 1A(,f <br /> Floors <br /> Walls/Ceilings -j(? �Wf WMt ftmtrv- IL-f e; VVI ro <br /> Light&Ventilation <br /> Occupancy t-0 <br /> Vermin <br /> Hot&Cold Water Tit <br /> Toilets <br /> Heat <br /> Sinks <br /> Baths V V10L,97117 /N oomi— /--OT owprc-Tsr u17 PiE Lo/ll2f <7 �1 k.� <br /> Cooking <br /> Maintenance LL f/�rv/�� r7 � C7ort v. 11n rrX7 r11rvllHrr f�,��7 dE <br /> Furnishin s <br /> Lead GrflZ>i-71tiNR 4 r]�f 94G !r1�S <br /> Number of Units: Environmental Health permit and service charge fees are authorized by San Joaquin County <br /> Number Of Units fns eGted: Ordinance. All documented immediate health violations or repeat violations are subject to a <br /> reinspection and reinspection fee. All unpaid charges associated with the facility owner of <br /> 50 51 52 record or applicant shall be paid prior to the issuance of a permit tooperate. <br /> Status: ❑ ❑ ❑ REINSPECTION DATE: RECEIVED BY: d !W <br /> ' f <br /> Page of ENVIRONMENTAL HEALTH SPECIALIST: <br /> EHD 24-01 HOTEUMOTEL OIR <br /> 9-26-07 <br />