Laserfiche WebLink
o 919, •.c SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br /> V. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> HOTEUMOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: l _ 5 lkj Inspection Date: 0� 4, �(7 <br /> Address: 22Jv j4 M#A/?NCy 20lf-.) urXajCk) PE: PR# <br /> 2�ov •oz y sow <br /> Owner/Operator: C&7mp Phone: <br /> TO /YP Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection <br /> # Units in Facility: �0 # Units Inspected: 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- <br /> 2 functioning sink/toilet/bath; Lack of hot water. Floors: Not clean, properly covered or in <br /> good repair.Walls&Ceilings:W ceilings in need of cleaning or repair:Holes,water <br /> damage pe mg d e orating paint; mpness or excessive moisture in room. <br /> ❑ 3 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 /> I 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 /> ❑ 5 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 /> ��6Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate i u4b—le <br /> close fitting covers; Garbage receptacles unclean or in disrepair. Avnet^-AX W✓nc <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: Electrical, structural,or plumbing hazards; Lack <br /> 10. of or inadequate s dke detectors r fire extinguishers; Inadequate lighting; Inadequate <br /> protection from weat hrade ate sewage or water facilities. <br /> Pest control Used? 2ryes ❑ No Company Name: jWMLX ! W equency: 01-<,e f?ort/rp <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: '0 310 1 ON P 118 11A ZIS 7,Z3 <br /> Comments: <br /> WfifTE H/1N/76CV65VT 10AIR-7% //J f1#210146 to - HUC. id trr4lL /X0161v0 alM,fR~lm ()/,' 7W 6/12//Il0 8c <br /> No L►D, /,UPC'c 0 f `wreyL Aj ov*?Ri 7M IND trocv <br /> # 0q_,pH0a WtZX70kl "7- vt�, / iOOa ' Ajr gy B/T//#LOO.'/ # wrlJK <br /> All violations in rooms not inspected must also be corrected. <br /> All re-inspections b the Environmental Health Department will be billed at the current hourly rate. <br /> Received By: J �'� C 1/11Ct Title: <br /> Environmental Health Specialist: Phone: LAP 9?YYI- Page 1 of <br /> EHD 24-01 4-30-12 <br />