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SAN JOA U11N COUNTY <br /> z ENVIRONMENTAL HEALTH DEPARTMENT <br /> N 600 East Main Street, Stockton , CA 95202-3029 <br /> c . <br /> Tedephobaa: (209) 468-3420 r-ax: (209) 464-0138 Web: www.sigov . ora/ehd <br /> q<I K " 'RNP <br /> HOTEUMOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility �c m <br /> v?�e Date : <br /> Address: <br /> VS-V 0 � . � �d® city: "�e� zip code: <br /> •Owner/Operator: <br /> A4 (` I ® ® <br /> 4� ! P "�[/� (' `l 0 `Ye P P. 'C' Telephone: ( ) <br /> Program Element: 2celae Program Record : <br /> 0 6 0 7 Inspection Type: awe <br /> of Units in Facility: (=-:� —1 tt of Units Inspected: Reinspection on or After: <br /> The items checked below are violations to be corrected: Room(s): <br /> ❑ 1 Restrooms: clean; properly maintained; hot ( ?110°F) & cold running water; fully operational; separate <br /> male & female if not in room. <br /> L1 2 . Lighting 8 Ventilation' properly operated & maintained; adequate amount of natural & electric lighting; <br /> _ adequate ventilation. _ <br /> ❑ 3 Cleanliness: clean & sanitary; no accumulation of vegetation, debris , trash , offal , combustibles or <br /> I r similar materials. <br /> ❑ 4 . Floors: clean; properly covered; in good repair; of sufficient size to carry imposed loads. <br /> ❑ 5 . Walls & Ceilings' in good repair; sufficient to carry imposed loads; height of 7'6" in habitable spaces . <br /> C 6 . Fire Extinguishers' provided & maintained ; charged; strapped to walls; inspected annually. <br /> ❑ Pest Control: free from infestation of insects, vennin or rodents; screens on windows; adequate <br /> prevention used. <br /> ❑ $ Heatinq: approved type; installed & maintained in safe condition; in each dwelling unit; 70°F at 3 feet <br /> off the floor. <br /> ❑ 9 . Smoke Detectors: provided & maintained; in every dwelling unit; properly functioning. <br /> ❑ 10 . Garbage Receptaclesadequate number; close fitting covers; i eevery dwelling unit; clean and in good <br /> repair. <br /> ❑ 11 Drinking Utensils & Ice Buckets' protected from contamination; properly washed & sanitized after <br /> each use (multi-use); individually wrapped (single use). <br /> ❑ . 2 Bedding: free from infestation, filth & foul matter; changed before new guest; kept dean, dry & <br /> sanitary. <br /> ❑ 13. Exits: adequate number; properly maintained; in good repair. <br /> ❑ 14 . Electrical : adequate; properly maintained ; safe & fully operational. d7� <br /> ❑ 15. Stairs: in good repair; hand rails properly attached. <br /> ❑ 16. Mechanical: adequate; properly maintained; safe & fully operational. <br /> ❑ 17 WeatherprooEM adequate waterproofing ; paint or other protective covering; no leaks or dampness of <br /> habitable rooms. <br /> ❑ 18 . Occupancy' only rooms permitted for habitation are occupied; proper room & space dimensions. <br /> ❑ 19 . Plumbing: connection to proper sewage system; properly maintained; safe & fully operational. <br /> ❑ 20 . Structural: adequate foundation in good repair; safe & adequate construction materials <br /> ❑ 21 . Maintenance: in good repair; properly functioning kitchen sink; lack of other nuisance. & <br /> ❑ 22. Public Areas: any violations in kitchen, hallways, or other publicly shared spaces. <br /> Comments: SCG _ �•c� /.ec"� < � a�iJ ® `J' � Z® B7p� <br /> FF ❑ All violations in rooms not inspected must also be corrected. <br /> ❑ All fire extinguishers and smoke detectors must be operational at all times. �� <br /> ❑ All EHD staff time associated with failing to comply by the above noted dates will be billed at the current hourly rate{$A@ �} <br /> ❑ Pest control com used: How often: Ajo 6 d �4� e2�lpo! <br /> Received By / Title: <br /> Environmental Health Sr i [St: Page 9 of e <br /> EHD 24-01 See Reverse Side For Additional Information <br /> 19ae-n8 HOTEL/MOTEL OIR <br />