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Inspection Detail
Inspection: 305207839 - Samuel Frank Johnson Dba Harbor Square Dental Clin
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Inspection Nr: 305207839
Report ID: 1055310
Date Opened: 07/31/2002
Site Address:
Samuel Frank Johnson Dba Harbor Square Dental Clin
860 Se Bayshore Dr Ste #101
Oak Harbor, WA 98277
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8021
NAICS: 621210/Offices of Dentists
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 10/04/2002
Emphasis:
Case Closed: 06/24/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 202327342 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $400 | $0 | $0 | $0 | $0 | $400 |
| Current Penalty | $400 | $0 | $0 | $0 | $0 | $400 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 0620800107 B 01 | 11/20/2002 | 12/08/2002 | $200 | $200 | $0 | - | ||
| 2. | 01002 | Serious | 80017005 | 11/20/2002 | 12/08/2002 | $100 | $100 | $0 | - | ||
| 3. | 01003 | Serious | 0620754004 A 01 | 11/20/2002 | 12/08/2002 | $100 | $100 | $0 | - | ||
| 4. | 02001 | Other | 0249560907 A 03A | 11/20/2002 | 12/08/2002 | $0 | $0 | $0 | - |