Inspection Detail

Inspection: 308414333 - Evergreen Restaurant Llc 3812

Inspection Information - Office: Medford

Inspection Nr: 308414333

Report ID: 1054116

Date Opened: 12/09/2004

Site Address:
Evergreen Restaurant Llc 3812
3613 Crater Lake Hwy
Medford, OR 97504

Mailing Address:
371 Ne Gilman Blvd Ste 340, Issaquah, WA 98027

Union Status: NonUnion

SIC:5812

NAICS: 722110/Full-Service Restaurants

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/17/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/05/2005

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				6		6
Current Violations				6		6
Initial Penalty	$0	$0	$0	$500	$0	$500
Current Penalty	$0	$0	$0	$500	$0	$500
FTA Penalty	$0	$0	$0	$1,750	$0	$1,750

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001A	Other	19100303 B02	01/04/2005	01/21/2005	$0	$0	$600	03/25/2005	W - Empr Withdrew
2.	01001B	Other	19100304 A03	01/04/2005	01/21/2005	$0	$0	$0	03/25/2005	W - Empr Withdrew
3.	01002A	Other	19101200 E01	01/04/2005	01/21/2005	$0	$0	$0	03/25/2005	W - Empr Withdrew
4.	01002B	Other	19101200 E01 I	01/04/2005	01/21/2005	$0	$0	$0	03/25/2005	W - Empr Withdrew
5.	01003	Other	702004201 B	01/04/2005	01/21/2005	$0	$0	$0	03/25/2005	W - Empr Withdrew
6.	01004	Other	19100132 D02	01/04/2005	01/21/2005	$0	$0	$550	03/25/2005	W - Empr Withdrew
7.	01005	Other	19100132 F04	01/04/2005	01/21/2005	$0	$0	$600	03/25/2005	W - Empr Withdrew
8.	01006	Other	701076502 A	01/04/2005	01/21/2005	$500	$500	$0	03/25/2005	W - Empr Withdrew

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