Laserfiche WebLink
Aq�,y 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.org/ehd <br /> HOTEL/MOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: F,)c nn 44,a-] Armnpi Cci Inspection Date 2, ' <br /> Address: 2� TG 1 ,"-" CA � �.i�(?4,�►� PE:�f 4 PR#:067-1-TZ-1 <br /> Owner/Operator: ; din d.I w Vn �V v Phone:n;�q <br /> Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection 1 <br /> #Units in Facility: 2 2 #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. <br /> on- <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 <br /> 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 /> ❑ 6 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 /> Fpublicly shared spaces. <br /> ❑ s. Pest Control: Infestation of insects,vermin or rodents. <br /> F. <br /> Other Nuisance:Any other condition which is hazardous to health. <br /> Other Substandard or Unsafe Conditions: Electrical,structural,or plumbing hazards; Lack D —tQ(j4j <br /> 10. of or inadequate smoke detectors or fire extinguishers; Inadequate lighting; Inadequate 5bQ.�� O <br /> protection from weather; Inadequate sewage or water facilities. <br /> Pest control Used?V Yes ❑ No Company Name: OP r4n Frequency: \N Art <br /> Hotel/Motel Business License? Yes ❑ No <br /> Multi-Jurisdictional Violations to be Referred to: ❑City Building/Code Ehforcement/Fire❑�County Code Enforcement/Fire❑ Other <br /> Rooms inspected: <br /> Comments: <br /> 0 KAQ to WPJ Cj AM a&D vein rVadic <br /> 111 .",.,Q . I I <br /> All vi ations in rooms not inspected must also be corrected. <br /> All re s ections byAfieknvironmental Health_Department will be billed at the current hourly rate. <br /> Received By: Title: MURi I&*A nl <br /> mental <br /> EnvironIth Specialist: Phone: 1ZPage 1 of <br /> EHD 24-01 4-30-12 HOTEUMOTEL OR <br />