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I. <br /> SAN JOAQUIN COUNTY <br /> x�- 0� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br /> xwq. <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> o <br /> HOTEL/MOTEL OFFICIAL INSPECTION REPORT 1 <br /> Name of Facility: M OtC 6 #r530 - Inspection Date: n �1 <br /> Address: GO N"`AVd D��o, MvW—toyl , cA. q eiu � PE 2,4-0PR#:Ov oct <br /> OWne,2 erator: U-1'1� ayj K/ (1 ^ 11 U*e Phone: G+_ Q 0� � <br /> Annual Inspection El Complaint inspection ElConsultation Inspec ion ❑ Re-Inspection 1 <br /> #Units in Facility: 6 # Units Inspected: 12- 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- <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 /> Heating: Lack of approved heating in each unit;Approved heater not maintained in a safe, <br /> ❑ 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 /> ❑ 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 /> 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 ]k(� gM V�rp*1 <br /> 10. of or inadequate smoke detect or fire extinguishers; Inadequate lighting; Inadequate 3 1 <br /> m wea er: na 1 a� <br /> protection froequate sewage or water facilities. <br /> Pest control Used? Yes ❑ No Company Name: Tem i 60Y, Frequency: <br /> Hotel/Motel Business Li ense? Yes ZNo <br /> Multi-Jurisdictional Violations to Se Referred to:❑City Building/Code Enforcement/Fire❑County Code Enforcement/Fire❑Other <br /> Rooms inspected: 113 n <br /> Comments: 900M y, mamritafned <br /> S <br /> s D 5 <br /> Epmlm 1-u Peen 1 it <br /> All violations in rooms not i spected must also be cor ected. <br /> All re-inspections by the Environmental Health Department will be billed at the currenthourlyrate. <br /> Receive y: / Title: <br /> Lo <br /> Environmen al He h Specialis: Phone:�Cy b� GC Page of <br /> EHD 24-01 4-30-12 _l( J�J HOTLUMC S FL OR <br />