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PQ��y SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT k, 1868 East Hazelton Avenue, Stockton, CA 95202-6232 ' Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd Ji HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: /'V Y— fo f kt e.( L cr Inspection Date: LZv p Address: J � �1 L,rT" J 52o� PE:�yI�7 PR#:07000 0 Owner/Operator: _K O,�Ctiln A44 Ltd I Phone: N_ o) C p _ nnual Inspection ❑tomplaint Inspection ❑ Consultation Inspection ❑ Re-Inspection # Units in Facility: j # Units Inspected: Reinspection On or About: The items checked below are violations to be corrected. See Reverse Side of this Form for Detailed Summary of Violations and Code References. Room(s): ❑ Room Cleanliness: Lack of cleanliness&sanitation;Accumulation of debris,trash, 1 garbage,combustible items or similar materials. Room Maintenance: General lack of repair or improper maintenance; Broken or non- Z) OOS� functioning sink/toilet/bath; Lack of hot water. Floors: Not clean, properly covered or in L&eS .3k0(-1e-V( V&( Ke e h 1 S 2 ood repair:Walls&Ceilings:Walls/ceilings s in need of cleaning or re air: Holes,water g 9 9 P olllar�y G►�c K�� c� il%�► damage, peeling or deteriorating paint; Dampness or excessive moisture in room. Pk ve, ❑ 3. Heating: 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 after each use(multi-use); Lack of or improper protective bagging (multi-use)or individual protective wrapping (single-use). ❑ 5 Bedding: Mattress/linens infested with lice, bedbugs,or other insects; Not free from filth or foul matter; Unsafe; Linens not changed weekly or before new guest. ❑ 6 Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate close fitting covers; Garbage receptacles unclean or in disrepair. ❑ Public Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways, exits,or other 7. publicly shared spaces. ❑ 8. Pest Control: Infestation of insects,vermin or rodents. ❑ 9. Other Nuisance:Any other condition which is hazardous to health. Other Substandard or Unsafe Conditions: Electrical,structural,or plumbing hazards; Lack Oil 66, G. y►d. 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate p. r hag' V-1" a' protection from weather; Inadequate sewage or water facilities. `MA b h Pest control Used? Yes ❑ No Company Name: C)I( 'p Frequency: 0�I Hotel/Motel Business License? a'�es ❑ No 3)/ZOLO Multi-Jurisdictional Violations to be Referred to: ❑ City Building/Code Enforcement/Fire❑ County Code Enforcement/Fire❑ Other Rooms inspected:K i aue'o 2 Z 3 10,A-e5 V OW) ,,,715 (00� 5)1 v t✓ 6 y Me S Comments: — G !j c,A r gv Ckslin ) VU 6 M S hoV e►f — hC' C'�r OL..s w1 r;- hot- 5 e j ala e C,c, o �re_StAI -er r�tV r All violations in rooms not inspected must also be corrected. All re spections by the.Environmental Health De artment will be billed at the current hourly rate. Received By: Title: Environmental eal cialist: s Phone: A �+ �3�(S Page 1 of ' 1l� EHD 24-01 4-30-12 C �``( �` r HOTEUMOTEL OR