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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ►± 1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.or /A ehd <br /> P <br /> HOTEL/MOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: EV <br /> ,-m,pml <br /> � t- r n+C/ Inspection Date: O l <br /> Address: S. m Ll on �V as N focrto� PE: PtItj -L� <br /> Owner/Operator: et— � Phone: <br /> Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection ") <br /> #Units in Facility: #Units Inspected: L 1 Reinspection On or About: <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. Room(s): <br /> 1 Room Cleanliness: Lack of cleanliness&sanitation;Accumulation of debris,trash, <br /> garbage,combustible items or similar materials. <br /> Room Maintenance: General lack of repair or improper maintenance; Broken or non- QQj- pleb 1 h \pa(15, <br /> 2 functioning sink/toilet/bath; Lack of hot water. Floors: Not clean, properly covered or in 4�oaY rvjX <br /> good repair. Walls&Ceilings: Walls/ceilings in need of cleaning or repair. Holes,water �n.(�,f-tQnr� <br /> damage, peeling or deteriorating paint; Dampness or excessive moisture in room. <br /> ❑ <br /> 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). <br /> Drinking Utensils&Ice Buckets:Not protected from contamination;Lack of or improper <br /> ❑ 4. washing&sanitizing after each use(multi-use); Lack of or improper protective bagging <br /> (multi-use)or individual protective wrapping (single-use). <br /> Bedding: Mattress/linens infested with lice, bedbugs,or other insects; Not free from filth or Nock- <br /> 5. 6: �n <br /> foul matter; Unsafe; Linens not changed weekly or before new guest. lq <br /> Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate <br /> F-1 6. close fitting covers; Garbage receptacles unclean or in disrepair. <br /> ❑ 7' Public Areas: Unsafe or unsanitary conditions in kitchen, hallways,stairways,exits,or other <br /> publicly shared spaces. <br /> ❑ 8. Pest Control: Infestation of insects,vermin or rodents. <br /> 9. Other Nuisance:Any other condition which is hazardous to health. <br /> Other Substandard or Unsafe Conditions: ectri tructural,or plumbing hazards; Lack 1 61 — „l�11fi <br /> 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate I n(. w� <br /> o ection f om weathe Inadequate sewage or water facilities. I01+ 114 2-2 Wdb SeQ,h <br /> Pest control Used? Yes ❑ No Company Name: CRSrto Frequency: <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: (aj <br /> Comments: m (t S S C)vQn `l1f h <br /> r v� <br /> ens <br /> t <br /> All violations in roo'Nfs not inspected must also be corrected. <br /> All re-inspections by the Environmental Health Department will be billed at the current hourly rate. <br /> Received By: Title: ov-' <br /> Environmental Health Spec Ii Phone: Page 1 of <br /> EHD 24-01 4-30-12 HOTEUMOTEL OIR <br />