Inspection Detail

Inspection: 306000001 - Adjustable Forms, Inc.

Inspection Information - Office: Chicago South Area Office

Inspection Nr: 306000001

Report ID: 0521700

Date Opened: 11/05/2003

Site Address:
Adjustable Forms, Inc.
The Pinnacle Tower, 21 E. Huron
Chicago, IL 60611

Mailing Address:
One East Progress Road, Lombard, IL 60148

Union Status: Union

SIC:1771

NAICS: 238110/Poured Concrete Foundation and Structure Contractors

Inspection Type: Prog Related

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 01/08/2004

Planning Guide: Health-Construction

Emphasis: L:Hirise, L:Silica, N:Silica, S:Silica

Case Closed: 03/05/2004

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$3,500	$0	$0	$0	$0	$3,500
Current Penalty	$1,500	$0	$0	$0	$0	$1,500
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.	01001A	Serious	19260055 A	02/04/2004	02/09/2004	$1,500	$3,500	$0		I - Informal Settlement
2.	01001B	Serious	19260055 B	02/04/2004	02/09/2004	$0	$0	$0		-

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