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Inspection Detail

Inspection: 317593085 - Eric P Bergquam Dmd Pc

Inspection Information - Office: Salem

 

Inspection Nr: 317593085
Report ID: 1054193
Date Opened: 09/10/2014

Site Address:
Eric P Bergquam Dmd Pc
906 Deborah Rd
Newberg, OR 97132

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: 09/10/2014

Planning Guide: Health-Manufacturing

Emphasis:

Case Closed: 05/12/2015


Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 2 3
Current Violations 1 2 3
Initial Penalty $100 $0 $0 $0 $0 $100
Current Penalty $100 $0 $0 $0 $0 $100
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 19101030 D04 IIIA3 11/05/2014 11/10/2014 $100 $100 $0 -  
2. 02002 Other 701076001 B C 11/05/2014 09/10/2014 $0 $0 $0 -  
3. 02003 Other 19100134 D01 III 11/05/2014 12/06/2014 $0 $0 $0 -  
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