Laserfiche WebLink
a,q�!rY SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />.s <br />1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />HOTEL/MOTEL OFFICIAL INSPECTION REPORT <br />r <br />Name of Facility: pX roPip <br />t.C4'r?P'r <br />Inspection Date <br />flip Faj r�N <br />Address: I (� S 14� C�'�-'I ' �� �� � <br />PE:24) <br />PR# -.Pp c 4 a - <br />Owner/Operator: TavaL. LL ftkifd a fZ0f) _„�W1A1_ <br />Phone:y,L* —sm <br />nnual Inspection El Complaint Inspection ❑ Consultation Inspection Re -Inspection <br /># Units in Facility: a 0# <br />Units Inspected: (' <br />Reinspection On or About: IV <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. <br />Room (s): <br />❑ <br />1 <br />Room Cleanliness: Lack of cleanliness & sanitation; Accumulation of debris, trash, <br />garbage, combustible items or similar materials. <br />F -1 <br />2 <br />Room Maintenance: General lack of repair or improper maintenance; Broken or non - <br />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 />❑ <br />3' <br />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 />❑ <br />4. <br />Drinking Utensils & Ice Buckets: Not protected from contamination; Lack of or improper <br />washing & sanitizing after each use (multi -use); Lack of or improper protective bagging <br />(multi -use) or individual protective wrapping (single -use). <br />❑ <br />5 <br />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 />❑ <br />6 <br />Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate <br />close fitting covers; Garbage receptacles unclean or in disrepair. <br />❑ <br />7. <br />Public Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways, exits, or other <br />publicly shared spaces. <br />❑ <br />8. <br />Pest Control: Infestation of insects, vermin or rodents. <br />❑ <br />9. <br />Other Nuisance: Any other condition which is hazardous to health. <br />❑ <br />10. <br />Other Substandard or Unsafe Conditions: Electrical, structural, or plumbing hazards; Lack <br />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: Frequency: (n <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: -, * -:�PZ --� <br />Comments: i <br />v 11 rnQI Of - <br />o <br />All violations in rooms not inspected must also be corrected. <br />All re -inspections b Environmental Health Department will be billed at the current hourly rate. <br />cei By: _—W Title: C1 C V S-�-�r ✓1-}- <br />�x/��l 1�1(I / f 1 t� ► f <br />En ohmenta a th ecialist: <br />P � ( � � `� <br />Phone: <br />�� 2Dq- [.{-e - ! <br />Page 1 of 1 <br />EHD 24-01 4-30-12 HOTEUMOTEL OR <br />