Laserfiche WebLink
P..Y! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> yi X 1868 East Hazelton Avenue, Stockton, CA 95202-6232 <br /> 1411 <br /> • Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.or /q ehd <br /> HOTEL/MOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: co Dote( Inspection Date: Y/Z 1 20 <br /> Address: I I O S 0wr� PE:2,9 PR#:() <br /> Owner/Operator: 'c1�e r ty' !/b Phone: (2�) CZ <br /> Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection <br /> # Units in Facility: Z Q # Units Inspected: CReinspection 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 /> 1 garbage,combustible items or similar materials. <br /> Room Maintenance: General lack of repair or improper maintenance; Broken or non- +� Eno Ke <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 OV <br /> damage, peeling or deteriorating paint; Dampness or excessive moisture in room. km 2� <br /> ❑ <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 /> Drinkinq 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 /> ❑ Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate <br /> 6. close fitting covers; Garbage receptacles unclean or in disrepair. <br /> F-17. Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways, exits,or other <br /> 7. publicly shared spaces. <br /> 8. Pest Control: Infestation of insects,vermin or rodents. l o'�—CG &yca(h E J <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? oYes ❑ No Company Name: :v�4r Frequency: 6, i1 D^- <br /> Hotel/Motel Business License? Z Yes ❑ No I L 2,o <br /> Multi-Jurisdictional Violations to be Referred to: ❑ City Building/Code Enforcement/Fire❑ County Code Enforcement/Fire❑ Other <br /> Rooms inspected: lot 03 :416 C a'44t 2 C� <br /> Comments: _ <br /> e, C�i All (..I S V (�,^V 4f <br /> m ire c e_-:�•e V 1%1/411 <br /> All violations in rooms not inspected must also be corrected. <br /> All re-inspections by the Environmental Health Department will be billed at the current hourly rate. <br /> Received By: Title: <br /> Environmental Health Specialist: �/f Phone: 68 3 Page 1 of <br /> EHD 24-01 4-30-12 l HOTEUMOTEL OR <br />