Laserfiche WebLink
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.slgov.orq/ehd <br /> c 'F'.0 HOTEUMOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ 5 �NlJ Inspection Date: V-710 <br /> 3 1 y <br /> Address: 9DO P a44l7� 90/W, ll`yVCKTD� PE: 24pg PR#:G25/yS49 <br /> Owner/Operator: ClifiMp PA,CL Phone: <br /> (M 1Yr Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection Re-Inspection <br /> # Units in Facility: 1�O I # 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:Walls/ceilings in need of cleaning or repair: Holes,water <br /> damage, peeling or deteriorating paint; Dampness 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 /> 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 /> ❑ s Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate <br /> 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: Electrical,structural,or plumbing hazards; Lack <br /> ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate <br /> protection from weather; Inadequate sewage or water facilities. <br /> Pest control Used? es ❑ No Company Name: IW /1& requency: c4M <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-I/jJ'ffell 04 10/VPJICJCV W 9d Te. <br /> Comments: log- Al -f dyyO66 GGJrrt7olt, k bffiovn t,M Nom. <br /> !f$ 6#7*tVun m4x, X1 1W *�2,23-'4IO,e OC7=40ti <br /> 10fi- nrwon wiii. rqw r & 1-- fi Fj c wile cvvdL filer wr <br /> p Moon x>7u. 12--10 >tv'woo na c7a2 tr. xV'eAj www 1Lao- <br /> '9W -r C4%,,C box mm covcnl <br /> All violations in rooms not inspected must also be corrected. j"1130,00 <br /> Alla-ins ections b the Enviro ental Health Department will be billed at the current hour) rat <br /> Received By: t\,_ C Title: <br /> Environmental HealthSpecialist: Phone: Page 1 of 1 <br /> EHD 24-01 4-30-12 HOTEL/MOTEL OIR <br />