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oP4'l SAN JOAQUIN COUNTY �� .0�1 ENVIFMNMENTAL HEALTH DEPARTMEfe y `1 1868 East Hazelton Avenue, Stockton, CA 95202-6232 X'.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.oro/ehd HOTEL/MOTEL OFFICIAL INSPECTION REPORT Name of Facility: N6K) Ff1UNJV PlOM6: UN►ON 1,rr44VF f}t°647460T Inspection Date: l4 le hq Address: vAjioQ q-racT v.�r7� PE: PR#:ril� 0S2Z5 -Z Owner/Operator: vUftara K"O Phone: 23�� 0 3j -r —,It .) RPP ,Annual Inspection ❑ Complaint Inspection ❑ Consultation Inspection ❑ Re -Inspection # Units in Facility: 13 # Units Inspected: bReinspection On or About: The items checked below are violations to be corrected. See Reverse Side of this Form for Detailed Summary of Violations and Code References. Room(s): ❑ 1 Room Cleanliness: Lack of cleanliness & sanitation; Accumulation of debris, trash, garbage, combustible items or similar materials. Room Maintenance: General lack of repair or improper maintenance; Broken or non- on-2 functioning sink/toile-at--h, Lack of hTwater oo of clean, properly covered or in 2. good repair. Walls & Ceilings: Walls/ceilings ed of cleaning or repair: Holes, water damage, peeling or deteriorating paint; Dampness or excessive moisture in room. ❑ 13 Heating: Lack of approved heating in each unit; Approved heater not maintained in a safe, working condition; Lack of adequate heat (Standard: 70°F at 3 feet from floor). ❑ 4. Drinking Utensils & Ice Buckets: Not protected from contamination; Lack of or improper washing & sanitizing after each use (multi -use); Lack of or improper protective bagging (multi -use) or individual protective wrapping (single -use). ❑ 5 Bedding: Mattress/linens infested with lice, bedbugs, or other insects; Not free from filth or foul matter; Unsafe; Linens not changed weekly or before new guest. ❑ 6 ' Garbage Receptacles: Inadequate number of garbage receptacles; Lack of or inadequate close fitting covers; Garbage receptacles unclean or in disrepair. ❑ 7 Public Areas: Unsafe or unsanitary conditions in kitchen, hallways, stairways, exits, or other publicly shared spaces. ❑ 8. Pest Control: Infestation of insects, vermin or rodents. ❑ 9. Other Nuisance: Any other condition which is hazardous to health. 10 Other Substandard or Unsafe Conditions: Electrical, structural, or plumbing hazards; Lack of or inadequat smo a detectors orfire extinguishers; Inadequate lighting; Inadequate protection from weather; Inadequate sewage or water facilities. Pest control Used? X Yes ❑ No Company Name: -T Frequency: 1G UP /0 Hotel/Motel Business License? ❑ Yes ❑ No Multi -Jurisdictional Violations to be Referred to: ❑ City Building/Code Enforcement/Fire ❑ County Code Enforcement/Fire ❑ Other Rooms inspected: ft I R2r f}3 153 (p 6S Comments: PC-arl i'T -TO OF"L4 1C (WPw t R Ti 0Q &"V60 0J 'T7>` Aj C_ 1 m50 OM f - Na -0 aprmIV - Am QILQ gmw Ohl Mal -//y ^v/r: A/Nia'j rm'6 7 /'11�f9YLr'MG`!✓T� �t CIT 00rlft. MWTI L u'iWIGC fff 1/ mic t.C� 7D Fril t 6 Oil. /%)rJU All violations in rooms not inspected must also be corrected. 1 11+ All re -i s ections - the vi onmental Health Department will be billed at the current hours rate. Received By: '� , �° Title: Environmental He p ialist: Phone: �h Page 1 of /Z EHD 24-01 4-30-12 1 (/ HOTEUMOTEL OR )4.