Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIc:JNMENTAL HEALTH DEPARTML,4'T <br /> 1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br /> ``..' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvwvd.sjocv.oro/ehd <br /> HOTEL/MOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: CQ� N107Z�L Inspection Date: 03 S <br /> Address: r939 N Nk-J'0A1 iVIV , �r7DCKIdN PE: Zy�4 PR#: o25�oOZ2 <br /> Owner/Operator: 5 k► c7�sfA-- Phone: 14C _ 201 <br /> !b / 1 0 Annual Inspection ❑ Comp_saint Inspection ❑l Consultation Inspection ❑ Re-Inspection <br /> # Units in Facility: If # 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 /> ❑ 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-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 /> Heating: Lack of approved heating in each unit;Approved heater not maintained in a safe, <br /> F-1 3' 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 /> Bedding: Mattress/linens infested with lice, bedbugs,or other insects; Not free from filth or <br /> ❑ 5' foul matter;Unsafe; Linens not changed weekly or before new guest. <br /> ❑ <br /> 6. Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate <br /> close fitting covers; Garbage receptacles unclean or in disrepair. <br /> Public Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways, exits, or other �-�' Gp,fvid /J)l�C�' <br /> 1� 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? T&Yes ❑ No Company Name: )I' — rfier Frequency: 0,V1,C t9 lfolVIV <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: 9 <br /> Comments: — M,0- A0011 61i#►e7n h 1417ACIi' 6W.r tot o2 . <br /> fWdk 60OL1141. MnovW & waw XC Affr llt 17?,M1W A4 Je 1_11//>14#76a l/i/2 /,v AVW <br /> xr on J UIfi 6,j'W 0n gr 44Viy faY,* N /L,J77A.6 rt avT' yCW rAr <br /> 6 fiovh u oT fWA"e11V6. <br /> I1�GY�IU <br /> All violations in rooms not inspected must also be corrected. <br /> All re-inspectijons by the Environmental Health Department will be billed at the current hourly rate. <br /> Received By: Title: <br /> Environmental HeaTffi Specialist. Phone: f 6 Pa <br /> — -��� —' g <br /> T e 1 of <br /> EHD 24-01 4-30-12 HOTELIMOTEL OR <br />