| Entity Name: | ETERNITY FUNERAL HOME AND CREMATORY OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Feb 2011 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Jul 2020 (5 years ago) |
| Document Number: | L11000016514 |
| FEI/EIN Number | 59-3263875 |
| Address: | 4856-A OAKDALE AVENUE, JACKSONVILLE, FL 32207 |
| Mail Address: | PO BOX 10728, JACKSONVILLE, FL 32247-0728 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| GILL, REX D. | Agent | 4856-A OAKDALE AVENUE, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| GILL, REX D | Manager | PO BOX 10728, JACKSONVILLE, FL 32247-0728 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-07-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-02 | GILL, REX D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-02 | 4856-A OAKDALE AVENUE, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-02 | 4856-A OAKDALE AVENUE, JACKSONVILLE, FL 32207 | No data |
| LC AMENDMENT | 2011-03-11 | No data | No data |
| CONVERSION | 2011-02-08 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P94000066160. CONVERSION NUMBER 100000111271 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-14 |
| LC Amendment | 2020-07-02 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-10 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 339892952 | 0419700 | 2014-08-11 | 4856 OAKDALE AVE, JACKSONVILLE, FL, 32207 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Inspection |
| Activity Nr | 974764 |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Complete |
| Safety/Health | Health |
| Close Conference | 2014-04-29 |
| Emphasis | L: FORMHYDE |
| Case Closed | 2014-09-16 |
Related Activity
| Type | Complaint |
| Activity Nr | 885737 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 I |
| Issuance Date | 2014-05-30 |
| Abatement Due Date | 2014-07-17 |
| Current Penalty | 720.0 |
| Initial Penalty | 1200.0 |
| Final Order | 2014-06-18 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Related Event Code (REC) | Complaint |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(i): The employer having employee(s) with occupational exposure did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure: a. On or about April 29, 2014, employees working at the funeral home embalming bodies were exposed to bloodborne pathogens hazards and the employer did not have, nor implemented a written Exposure Control Plan designed to eliminate or minimize employee exposure to the bloodborne pathogens and other potentially infectious materials. |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2014-05-30 |
| Abatement Due Date | 2014-07-17 |
| Current Penalty | 720.0 |
| Initial Penalty | 1200.0 |
| Final Order | 2014-06-18 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(e)(1): Employer had not developed or implemented a written hazard communication program included the requirements outlined in 29 CFR 1910.1200(e)(1)(i) and (e)(1)(ii): a. On or about April 29, 2014, at the preparation room, employees were potentially exposed to flammable and corrosive chemicals such as, but not limited to, Petricel, Triton 28, Edema, and One Point which were capable of causing severe irritation and/or burns to the eye and skin. The employer had not developed nor implemented a written hazard communication program. |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19101200 H03 IV |
| Issuance Date | 2014-05-30 |
| Abatement Due Date | 2014-07-17 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2014-06-18 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(3)(iv): The details of the hazard communication program developed by the employer, did not include an explanation of the labels received on shipped containers and the workplace labeling system used by their employer; the safety data sheet, including the order of information and how employee could obtain and use the appropriate hazard information: a. On or about April 29, 2014, the employer did not include in the hazards communication program an explanation of the labeling system, safety data sheet, and training to employees who have exposure to hazardous materials such as but not limited to Petricel, Triton 28, and One Point. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19101048 D01 I |
| Issuance Date | 2014-05-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2014-06-18 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1048(d)(1)(i): Employees of a workplace covered by this standard were not monitored to determine their exposure to formaldehyde: a. On or about May 1, 2014, an employee was exposed to formaldehyde at a Time Weighted Average (TWA) of 0.05 parts per millions (PPM), below the limit of 0.75 PPM, while embalming. The sampling was performed for 44 minutes during one shift on May 1, 2014. The employer did not conduct an initial monitoring to determine employees exposure to formaldehyde. |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
