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Inspection Detail
Inspection: 111245676 - Eugene S Mumford Dds
Inspection Information - Office: Dosh Tacoma Service Location, Tacoma, Wa
Inspection Nr: 111245676
Report ID: 1055330
Date Opened: 12/08/1992
Site Address:
Eugene S Mumford Dds
19163 Jensen Way Ne
Poulsbo, WA 98370
Mailing Address:
Po Box 1429, Poulsbo, WA 98370
Union Status: NonUnion
SIC:8021
NAICS: 0
Inspection Type: Complaint
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 12/08/1992
Emphasis:
Case Closed: 06/28/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 75588913 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 7 | 9 | |||
| Current Violations | 2 | 7 | 9 | |||
| Initial Penalty | $480 | $0 | $0 | $0 | $0 | $480 |
| Current Penalty | $480 | $0 | $0 | $0 | $0 | $480 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 0620800103 A 01 | 02/12/1993 | 03/17/1993 | $240 | $240 | $0 | 03/08/1993 | Y - State Decision | |
| 2. | 01002 | Serious | 0620800107 B 02A | 02/12/1993 | 03/17/1993 | $240 | $240 | $0 | 03/08/1993 | Y - State Decision | |
| 3. | 02001 | Other | 0620800104 C 11 | 02/12/1993 | 02/22/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision | |
| 4. | 02002 | Other | 0620800104 B 07 | 02/12/1993 | 02/22/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision | |
| 5. | 02003 | Other | 0620800104 D 03AI | 02/12/1993 | 02/22/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision | |
| 6. | 02004 | Other | 0620800104 D 04A2 | 02/12/1993 | 02/22/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision | |
| 7. | 02005 | Other | 0620540901 | 02/12/1993 | 03/17/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision | |
| 8. | 02006 | Other | 0240004002 | 02/12/1993 | 03/17/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision | |
| 9. | 02007 | Other | 02429503 | 02/12/1993 | 03/02/1993 | $0 | $0 | $0 | 03/08/1993 | Y - State Decision |