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a,q!!!►r. SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT yX 1868 East Hazelton Avenue, Stockton, CA 95202-6232 Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.segov.org/ehd HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: ( ak+-er fieri c_o� Inspection Date: I /2Y/'JZOZ,3 Address: U I J`WI G�� YI� PE:Zy09 PR#:1x521'7 Z- Owner/ erato G f d r I6, / M�,� Phone:/%Zo9) y cL c t19.�3 !nnual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection/ 7c� 7 #Units in Facility: Y2. I #Units Inspected: 41,l 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, garbage,combustible items or similar materials. Room Maintenance: General lack of repair or improper maintenance; Broken or non- 2. , functioning sink/toilet/bath; Lack of hot water. Floors: Not clean,properly covered or in �-' good repair.Walls&Ceilings:Walls/ceilings in need of cleaning or repair: Holes,water damage, peeling or deteriorating paint; Dampness or excessive moisture in room. F-13 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 V`�f Gt7�1cC�Yj ❑ 4. washing &sanitizing after each use(multi-use); Lack of or improper protective bagging (multi-use)or individual protective wrapping(single-use). E] 5. Mattress/linens infested with lice, bedbugs,or other insects; Not free from filth or 5' foul matter; Unsafe; Linens not changed weekly or before new guest. F-1 6 Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate close fitting covers;Garbage receptacles unclean or in disrepair. ❑ 7' Public Areas: Unsafe or unsanitary conditions in kitchen, hallways,stairways,exits,or other 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 ❑ 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate protection from weather; Inadequate sewage or water facilities. Pest control Used? TSTYes ❑ No Company Name: Z6U k'b Frequency: Hotel/Motel Business License? Yes ❑ No '�,f��; p'k Co Z/31 Z Multi-Jurisdictional Violations to be Referred to: ❑ City Building/Code Enforcement/Fire❑County Code Enforcement/Fire❑ Other Rooms inspected:7 0 to 6' 23 30 5 O 6 1312, 3 tiS Comments: o volt w1riAls Ur 'er ✓ II violations i rooms not inspected must also be corrected. All -insp c io s yAhe EAiviro ental Health Departme t will be billed at the current hourly rate. Received By: yv VVV X A Title: Environmental Health Specialist: 27 3' ` Phone: C Z Oj �y Q— �) Page 1 of EHD 24-01 4-30-12 (, ✓ 0 / HOTEUMOTEL OR