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Inspection Detail

Inspection: 307618496 - Fifth Avenue Dentistry

Inspection Information - Office: Dosh Tumwater Service Location, Tumwater, Wa

 

Inspection Nr: 307618496
Report ID: 1055340
Date Opened: 04/12/2004

Site Address:
Fifth Avenue Dentistry
531 Ne Everett St.
Camas, WA 98607

Mailing Address:
337 Ne 5th Ave, Camas, WA 98607

Union Status: NonUnion

SIC:8021

NAICS: 621210/Offices of Dentists

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 04/30/2004

Emphasis:

Case Closed: 09/15/2004

Related Activity
Type Activity Nr Safety Health
Referral 202415220 Yes
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 7 7
Current Violations 7 7
Initial Penalty $2,050 $0 $0 $0 $0 $2,050
Current Penalty $850 $0 $0 $0 $0 $850
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citation Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Serious 0620772102 B 02 06/14/2004 04/12/2004 $250 $250 $0 07/01/2004 Y - State Decision  
2. 01002A Serious 0620772203 B 01B 06/14/2004 04/12/2004 $100 $300 $0 07/01/2004 Y - State Decision  
3. 01002B Serious 0650003002 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
4. 01003A Serious 0620771210 C 01 06/14/2004 04/12/2004 $100 $300 $0 07/01/2004 Y - State Decision  
5. 01003B Serious 0620771210 C 02 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
6. 01003C Serious 0620771209 C 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
7. 01004 Serious 0620771101 06/14/2004 04/12/2004 $100 $300 $0 07/01/2004 Y - State Decision  
8. 01005 Serious 0620771701 A 06/14/2004 04/12/2004 $100 $300 $0 07/01/2004 Y - State Decision  
9. 01006A Serious 0620771501 G 02 06/14/2004 04/12/2004 $100 $300 $0 07/01/2004 Y - State Decision  
10. 01006B Serious 0620771501 G 03 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
11. 01006C Serious 0620771501 G 04 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
12. 01007A Serious 0620772301 06/14/2004 04/12/2004 $100 $300 $0 07/01/2004 Y - State Decision  
13. 01007B Serious 0620772306 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
14. 01007C Serious 0620772308 06/14/2004 04/12/2004 $0 $0 $0 07/01/2004 Y - State Decision  
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