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4 RIN., .1, AIV OVAWw" wainr r ' Et`,RONMENTAL HEALTH DEPART�NT `� 1868 East Hazelton Avenue, Stockton, CA 95202-6232 `., Telephone:(209)468-3420 Fax:(209)464-0138 Web:www sigov org/ehd HOTELIMOTEL OFFICIAL INSPECTION REPORT Name of Facility: yolvNRo )onANON 11I Inspection Date: U4 ? (,� / + Address: 33 A1a2771 C6Alff "Amr/ W706x7Wa) PE: Z," PRa:&M �//fi Owner/Operator yATI ` �2�e ,PHI Phone: pjD /lop Annual Inspection ❑Complaint Insp 'on ❑Consultation Inspection ❑Re-Inspection tt Units in Facility: CIO 8 Units Inspected: )ON II Reinspection On or About: The items checked below are violations to be corrected. Sas RewrseSkle of Nit Farm for DoWled Somm "010110M and code Refemnces. Room (s): El I. Room Cleanliness:lack of cleanliness&sanitation;Accumulation of debris,trash, garbage,combustible hems or similar materials. Room Maintenance:General lack of repair or improper maintenance; Broken or non- IF Z05 2 functioning sinkhoilelPoath;Lack of ho ter. Floors:Not clean,properly covered or In good repair.Wells&Ceilings:Wall ceill in need of cleaning or repair.Holes,water damage,peeling or deteriorating paint;Dampness or excessive moisture in room. ❑ 3 e in •Lack of approved heating in each unit;Approved heater not maintained In a safe, working condition;Lack of adequate heat(Standard:70`F at 3 feet from floor). Drinking Utensils&Ice Buckets: Not protected from contamination;Lack of or improper ❑ 4. washing&sanitizing atter each use(multi-use);Lack of or improper protective bagging (mufti-use)or individual protective wrapping(single-use). ❑ 6 Bocci=MattressAinens infested with lice,bedbugs,or other insects; Not free from fifth or foul matter,Unsafe;Linens not changed weekly or before new guest. Garbage Receptacles:Inadequate number of garbage receptacles;Lack of or inadequate "L4491F UO 70 farA'60"OF e' dose fitting covers;Garbage receptacles unclean or in disrepair. (zA#(x0a') 7 Public Areas:Unsafe of unsanitary conditions in kitchen,hallways,stairways,exits,or other Oftf 10 IF ivY publicly shared spaces. ❑ 8. Past Control: Infestation of insects,vermin or rodents. ❑ 9, Other Nuisance:Any other condition which is hazardous to health. Other Substandard or Unsafe Conditions: Electdcal,structural,or plumbing hat ;Lads ❑ 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 Com an Name: 29KMA Frequency: ISO Holel/Motel Business License? ❑Yes ❑ No Multi-Jurisdictional Violations to be Referred to:❑City BuildingfCode Enforcement/Fire❑County Code Enforcement/Fre❑Other Roomsinspected: loo los Y 3l 3/�- I 30 30 Comments: IFZdy L / LQS ✓dam Anpn AO�oI/JMIb — I.A*W yeM'T 6.v>r Val uNG Aeri 1, J'fY4 Amm BAuwM 1161 TO AoOrlryoc C,&N rLocd crzb O.yO Move +* ckvA'lar') -("VioF 40 To o6"e 6f C15a DNO OLWm 6w1 O - Akt ove C064eb W 60IlYA0091 I.E dk4' ftq- cA&#c IN cmlrtv6 30y- 7aKICL hOLVa J-r 6C�.IT 09/ tocb . All violations in rooms not inspected must also be corrected. �/ls All reins tions b artm the Environmental Health De ent will be billed at the current hour) rate. Received By: Tine: rGY11/0 S Environmental Health Specialist Phone: b[ �S� .l��n Page 1 of l END244n 4. 12 )( ��0✓Ib NIW17oA/! S!/Lmu 7V AL. IVIN pQ✓rrJ HOTEL/MOTEL OIR