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Inspection Detail

Inspection: 314714239 - Roosevelt Dental Center

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

 

Inspection Nr: 314714239
Report ID: 1055310
Date Opened: 01/20/2011

Site Address:
Roosevelt Dental Center
1210 Roosevelt Ave
Mount Vernon, WA 98273

Mailing Address:
1220 22nd St Unit C, Anacortes, WA 98221

Union Status: NonUnion

SIC:8021

NAICS: 621210/Offices of Dentists


Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 01/28/2011

Emphasis: L:Wahealth

Case Closed: 05/26/2011


Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 4 3 7
Current Violations 4 3 7
Initial Penalty $400 $0 $0 $0 $0 $400
Current Penalty $400 $0 $0 $0 $0 $400
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Serious 80015030 02/16/2011 03/21/2011 $100 $100 $0 02/23/2011 Y - State Decision  
2. 01002 Serious 80016005 02/16/2011 03/21/2011 $100 $100 $0 02/23/2011 Y - State Decision  
3. 01003 Serious 80017030 02/16/2011 03/21/2011 $100 $100 $0 02/23/2011 Y - State Decision  
4. 01004 Serious 82312005 02/16/2011 03/21/2011 $100 $100 $0 02/23/2011 Y - State Decision  
5. 02001 Other 80017010 02/16/2011 03/21/2011 $0 $0 $0 02/23/2011 Y - State Decision  
6. 02002 Other 82311010 02/16/2011 03/21/2011 $0 $0 $0 02/23/2011 Y - State Decision  
7. 02003 Other 82317005 02/16/2011 03/21/2011 $0 $0 $0 02/23/2011 Y - State Decision  
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