Historical 10/10/2016
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1 Historical 10/10/2016 Page 1 of 5 Inspector: Jaime Craig Start Date/Time: 10/10/2016 at 3:19:02 PM 18 RENTABLE ROOMS CHECKED #3, #5 SMOKE DETECTORS PRESENT (CAN'T CHECK SMOKE DETECTORS WITHOUT LADDER, PLEASE CHECK ON A REGULAR BASIS) FIRE EXTINGUISHERS WITHIN 75 FEET OF ALL ROOMS (LAST SERVICED OCT 2015). FRIDGES COLD/ MICROWAVES CLEAN BATHROOMS CLEAN/SMOOTH SURFACES NO DISHES/ KITCHENETTE BATHROOMS CLEAN, STOCKED, HOT WATER LAUNDRY ROOM: GOOD SEPARATION BETWEEN DIRTY AND CLEAN LINENS. GUEST LAUNDRY ROOM LOOKS GREAT **PLEASE RELABEL CHEMICAL BOTTLES WHERE WRITING IS FADED AND HARD TO READ. **STORAGE AREA AND LAUNDRY HAVE RAW WOOD SHEVES. SUGGEST SEALING/PAINTING TO MAKE THEM EASILY CLEANABLE AND TO AVOID SPILLED MATERIALS TO TRANSFER TO OTHER OBJECTS. Violation of OAR (1) & (2) Insects or rodents are present (1)(2) LAUNDRY ROOM DOOR TO OUTSIDE OPEN. FLIES ARE ABUNDENT NEAR CLEAN LAUNDRY Take the necessary control measures to safeguard public health and prevent insect and rodent infestations in travelers' accommodations and the surrounding areas. Maintain all developed areas, buildings, and structures to prevent the accumulation of debri PLEASE SCREEN, KEEP DOOR SHUT, OR USE WINDOW THAT IS SCREENED FOR VENTILATION.
2 Page 2 of 5 Start Date/Time: 10/10/2016 at 3:19:02 Comments: Person In Charge Inspection By: Jaime Craig Page 2
3 Page 3 of 5 Start Date/Time: 8/31/2015 at 2:11:57 Historical 8/31/2015 Page 3 of 5 Inspector: Mason Lyman Start Date/Time: 8/31/2015 at 2:11:57 PM 18 ROOMS TOTAL- CHECKED ROOMS 14 AND 20. BACK FLOW PREVENTERS ON OUTSIDE OF BUILDING FIRE EXTINGUISHERS WITHIN 75 FEET OF ALL ROOMS. FRIDGES COLD/ MICROWAVES CLEAN BATHROOMS CLEAN/SMOOTH SURFACES NO DISHES/ KITCHENETTE LAUNDRY ROOM CLEAN/ GOOD SEPARATION BETWEEN BETWEEN DIRTY AND CLEAN LINENS. HOT WATER TO ALL FAUCETS. **GARBAGE COLLECTION IS MONDAY, WEDNESDAY AND FRIDAY. DUMPSTER IS OVERFLOWING TODAY(PICKUP DAY). PIC IS TALKED TO SOLID WASTE MANAGEMENT COMPANY TO INCREASE PICKUP SCHEDULE, OR TO INCREASE SIZE OF DUMPSTER. **NO FIRE ALARM PRESENTLY IS ROOM #20. MAINTENANCE IS GETTING SEVERAL TODAY IN TOWN. PLEASE CHECK AFTER EACH CLEANING TO MAKE SURE THEY ARE IN PLACE. Person In Charge Inspection By: Mason Lyman Page 3
4 Inspection Type: BIANUL Page 4 of 5 Start Date/Time: 7/29/2014 at 11:08:42 Historical 7/29/2014 Page 4 of 5 Inspection Type: BIANUL Inspector: Mason Lyman Start Date/Time: 7/29/2014 at 11:08:42 AM ROOM #2 WAS INSPECTED. SMOKE DETECTORS OPERATIONAL AND TESTED FOR EFFECTIVENESS. BED LINENS WERE CLEAN, AND FREE OF DEBRIS AND SAND. MATTRESS PAD PROVIDED AND THERE CORRECTLY. FRIDGE AND MICROWAVE RECENTLY CLEAN AND READY TO GO. BATHROOM CLEAN, AND FREE OF MOLD BUILD UP. VENTILATION WORKING VERY WELL IN BATHROOM. FIRE EXTINGUISHERS ON OUTSIDE OF ROOMS, FOUND EVERY 75 FEET OR LESS. OUTSIDE OF BUILDING IS CLEAN AND WELL MAINTAINED. *FOUND SOME DEBRIS UNDER BED, INCLUDING FULL PIECE OF PAPER. Person In Charge Inspection By: Mason Lyman Page 4
5 Page 5 of 5 Start Date/Time: 3/19/2013 at 10:07:29 Historical 3/19/2013 Page 5 of 5 Inspector: Melissa Kauffman Start Date/Time: 3/19/2013 at 10:07:29 AM THE PURPOSE OF THIS VISIT IS AN ANNUAL INSPECTION 2 ROOMS WERE INSPECTED SMOKE DETECTORS ARE HARDWIRED AND WORKING BEDS HAVE MATRESS PADS SHEETS ARE CLEAN AND IN GOOD REPAIR BATHROOMS ARE VERY CLEAN GOOD VENTILATION IN RESTROOMS FIRE EXTINGUISHERS ARE OUTSIDE LAUNDRY ROOMS IS IN GOOD CONDITON LIGHTS ARE PROTECTED CHEMICLES ARE PROPERLY STORED CLEAN AND SOILD LINENS ARE SEPERATED THERE ARE NO VIOLATIONS AT THIS TIME THANK YOU! Comments: Person In Charge Inspection By: Melissa Kauffman Page 5
HOTEL/MOTEL INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 8/31/2016 Page 1 of 9 Inspector: Jaime Craig Start Date/Time: 8/31/2016 at 3:24:04 PM PERSON IN CHARGE EASILY FOUND INSPECTED ROOMS 6 AND 8, 14 TOTAL ROOMS ADEQUATE HOT WATER IN EACH ROOM SMOKE
HOTEL/MOTEL INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 9/2/2015 Page 1 of 6 Inspector: Mason Lyman Start Date/Time: 9/2/2015 at 1:39:58 PM ANNUAL INSPECTION OF FACILITY- 14 ROOMS TOTAL- INSPECTED ROOM #5. FIRE EXT. WITHIN 75 FEET OF ALL ROOMS FIRE
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Historical 9/22/2016 Priority/Priority Foundation Score: 97 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Jaime Craig Start Date/Time: 9/22/2016
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 3/3/2016 Page 1 of 10 Inspector: Annette Pampush Start Date/Time: 3/3/2016 at 10:55:22 AM THIS IS S SEMI ANNUAL INSPECTION LUNCH BEING PREPPED/SERVED SANITIZER AT 50 PPM DISHWASHER AT 180 F
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 9/24/2015 INSPECITON OF FACILITY- Inspection Result: COMPLD Establishment #: Phone: 2900178C (503) 368-7675 x Inspector: Mason Lyman Start Date/Time: 9/24/2015 at 4:12:35 PM Page 1 of 13 Area:
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FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
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Historical 2/24/2016 Owner Name: QK HOLDINGS, LLC 2230 MAIN AVE N, STE 200 TILLAMOOK, OR 97141 101 E HOPI DR HOLBROOK, AZ 86025 SEMIANNUAL INSPECTION OF FACILITY- FOOD SERVICE INSPECTION REPORT Tillamook
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Historical 1/22/2016 Page 1 of 13 N Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900114 Area: 01 Phone: (503) 815-1300 x1113 Inspector: Mason Lyman Start Date/Time: 1/22/2016 at
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 11/4/2016 Page 1 of 13 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900282A Area: 01 Phone: (503) 842-1130 x Inspector: Jaime Craig Start Date/Time: 11/4/2016 at 1:31:53
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 1/13/2017 Page 1 of 24 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900115B Area: 01 Phone: (503) 354-2463 x Inspector: Jaime Craig Start Date/Time: 1/13/2017 at 12:55:38
Historical 11/17/2016
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Historical 3/10/2016 Inspection Result: COMPLD Establishment #: Phone: THIS IS A SEMIANNUAL INSPECTION COLD HOLDING: PREP FRIDGE TOP CHEESE 41F, BOTTOM BACON AT 41F 2 DR REACH IN BUTTER AT 41F, FREEZER
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Historical 1/7/2016 Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900328A (503) 842-5603 x Inspector: Mason Lyman Start Date/Time: 1/7/2016
FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)
Historical 1/12/2016 Page 1 of 11 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900099B Area: 01 Phone: (503) 322-2020 x Inspector: Mason Lyman Start Date/Time: 1/12/2016 at 2:13:53
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