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Inspection Detail
Case Status: CLOSED
Inspection: 1126474.015 - Wa317939540 - Eric R Shibley Md Pllc
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
Inspection Nr: 1126474.015
Report ID: 1055320
Date Opened: 02/17/2016
Site Address:
Wa317939540 - Eric R Shibley Md Pllc
4700 36th Ave Sw
Seattle, WA 98126
Mailing Address:
4700 36th Ave Sw, Seattle, WA 98126
Union Status: NonUnion
SIC:
NAICS: 621111/Offices of Physicians (except Mental Health Specialists)
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/09/2016
Emphasis:
Case Closed: 08/31/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 1060381 | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 2 | 6 | |||
| Current Violations | 3 | 2 | 5 | |||
| Initial Penalty | $6,000 | $0 | $0 | $0 | $0 | $6,000 |
| Current Penalty | $4,500 | $0 | $0 | $0 | $0 | $4,500 |
| 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. | 01001A | Serious | 296-823-14035(2) | 05/23/2016 | 06/10/2016 | $1,500 | $1,500 | $0 | 05/26/2016 | C - Contested | |
| 2. | 01001B | Serious | 296-823-14025(1)(A)(I) | 05/23/2016 | 06/10/2016 | $0 | $0 | $0 | 05/26/2016 | C - Contested | |
| 3. | 01002 | Serious | 296-823-12015(2) | 05/23/2016 | 06/10/2016 | $1,500 | $1,500 | $0 | 05/26/2016 | C - Contested | |
| 4. | 01003 | Serious | 296-823-14055(1) | 05/23/2016 | 06/10/2016 | $1,500 | $1,500 | $0 | 05/26/2016 | C - Contested | |
| 5. | 01004 | Serious | 296-823-13005 | 05/23/2016 | 06/10/2016 | $0 | $1,500 | $0 | 05/26/2016 | C - Contested | Citation has been deleted. |
| 6. | 02001 | Other | 296-800-14005 | 05/23/2016 | 08/17/2016 | $0 | $0 | $0 | 05/26/2016 | C - Contested | |
| 7. | 02002 | Other | 296-800-30020 | 05/23/2016 | 06/10/2016 | $0 | $0 | $0 | 05/26/2016 | C - Contested |