Translate
Inspection Detail
Inspection: 315580571 - Peter W Jacobsen Dds Pllc
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
Inspection Nr: 315580571
Report ID: 1055320
Date Opened: 12/07/2011
Site Address:
Peter W Jacobsen Dds Pllc
27016 Maple Valley Blk Dia Se
Maple Valley, WA 98038
Mailing Address:
, , 00000
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: 12/20/2011
Emphasis: L:Walep
Case Closed: 02/06/2012
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Other | 80014005 | 01/05/2012 | 12/07/2011 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 82313005 | 01/05/2012 | 12/07/2011 | $0 | $0 | $0 | - |