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Aq� ! N SAN JOAQUIN COUNTY <br /> r . Et RONMENTAL HEALTH DEPART' NT <br /> N: < <br /> 1868 East Hazelton Avenue , Stockton , CA 95202-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> HOTEUMOTEL OFFICIAL INSPECTION REPORT <br /> Name of Facility: 13KEV/ 19 114AJ Inspection Date: <br /> PS ob /y <br /> Address: 1625 �� C�f C*fto 7y,E,tlo/k'E rv/v (,rA) i�N PE: y PR#: U2yU// Z <br /> Owner/Operator: Joe M _ ok Iva Phone: <br /> M P P&Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re-Inspection <br /> # Units in Facility: �(d # Units Inspected: 5 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 /> E-1 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 /> E] 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 /> ❑ s 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 /> ❑ e 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 U Conditions: Electrical, structural, or plumbing hazards; Lack vr, $FLOW <br /> 10. of or inadequate s!p ce detect s or fire extinguishers; Inadequate lighting; Inadequate <br /> protection from weal e` FTaacTequate sewage or water facilities. <br /> Pest control Used? Pq Yes ❑ No Company Name: C44W rfff'T Ca✓/t7WL_ Frequency: Q/✓LE /J !7Ji&j - <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: of /ZS 08 /p ) 90 / OEM35 ZZ 2/ oil ZZ Z7,5r 2W , 27� <br /> Comments: <br /> 1175- to 040a pEfEc 1a1� dgrTLlli <br /> *22/o " U'HOK6 OC�Ctoti Gf17 <br /> f Z13 -Tnoaf t7C 6i5fX OnoutFO 60'7IUOn SHSE6of1,o k&7 To 7p/6CT <br /> 1. U%ii1o" Pffeclfol% (LG�1ovG� <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: Phone: C&F Page 1 of / <br /> EHD 24-01 4-30-12 HOTEUMOTELOIR <br />