Inspection Detail

Inspection: 315909101 - Dr Amna Shebani Denistry

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

Inspection Nr: 315909101

Report ID: 1055340

Date Opened: 03/09/2012

Site Address:
Dr Amna Shebani Denistry
1405 Se 164th Ave Ste 203
Vancouver, WA 98683

Mailing Address:
, , 00000

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: 04/19/2012

Emphasis:

Case Closed: 02/26/2013

Related Activity
Type	Activity Nr	Safety	Health
Referral	203101910		Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			6		8
Current Violations	2			6		8
Initial Penalty	$1,800	$0	$0	$0	$0	$1,800
Current Penalty	$1,000	$0	$0	$0	$0	$1,000
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
1.	01001	Serious	82312005	04/27/2012	05/30/2012	$900	$900	$0	05/15/2012	F - Formal Settlement
2.	01002	Serious	82311010	04/27/2012	05/30/2012	$100	$900	$0	05/15/2012	F - Formal Settlement
3.	02001	Other	80014005	04/27/2012	05/30/2012	$0	$0	$0	05/15/2012	F - Formal Settlement
4.	02002	Other	82312015	04/27/2012	05/30/2012	$0	$0	$0	05/15/2012	F - Formal Settlement
5.	02003	Other	8001302501	04/27/2012	05/30/2012	$0	$0	$0	05/15/2012	F - Formal Settlement
6.	02004	Other	80016005	04/27/2012	05/30/2012	$0	$0	$0	05/15/2012	F - Formal Settlement
7.	02005	Other	80017005	04/27/2012	05/30/2012	$0	$0	$0	05/15/2012	F - Formal Settlement
8.	02006	Other	80016050	04/27/2012	05/05/2012	$0	$0	$0	05/15/2012	F - Formal Settlement

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