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STATE OF CALIFORNIA ■ ■ •r"€QN�Ma.GWIJc. vernor <br /> DEPARTMENT OF INDUSTRIAL RELATIONS ■ {`�j r j v"q�J <br /> OCCUPATIONAL SAFETY <br /> AND HEALTH APPEALS BOARD APR 0 9 2015 <br /> 2520 VENTURE OAKS WAY,SUITE 300 <br /> SACRAMENTO, CA9 833 ENVIRONMENTAL <br /> ( 274-5751 <br /> FAXAXJ916)274-5765 <br /> HFA!T!+n�oeoTttcnrr <br /> March 10,2015 <br /> Tamara Castro,Manager STATE OF CALIF. <br /> PACIFIC CAR WASH & MARKETPLACE, INC. DIR-DOS" <br /> 4405 Pacific Avenue Received <br /> Stockton,CA 95207 M AR 12 2015 <br /> SUBJECT: Confirmation of your Intent to Appeal; <br /> Modesto Dl6Md Office <br /> Request for Additional Documents <br /> PACIFIC CAR WASH& MARKETPLACE,INC. <br /> Inspection No. 1021222 <br /> Dear Ms. Castro: <br /> The Occupational Safety and Health Appeals Board received your telephone call on March 9, 2015. You indicated your <br /> intention to appeal the citation(s) issued by the Division of Occupational Safety and Health. <br /> In order for us to proceed with your appeal,you are required to provide the following documents. <br /> 1. An Appeal Form must be filled out and submitted for each citation you are appealing. <br /> The citation is the document issued by the inspector indicating'the.specific regulation(s) you are being charged with <br /> violating. <br /> The Appeal Form is located at the following website address: http://www.dir.ca.gov/oshab/oshab.htmi. You may enter <br /> information directly into the form, however you cannot file your appeal electronically. You must print out the form and <br /> mail it to the Appeals Board at the address below. <br /> Please indicate on the form which citation you are appealing and the grounds upon which your appeal is based. Please <br /> take the time to carefully fill out the appeal form completely and accurately. Incomplete appeal forms will be returned to <br /> you. (Refer to the"Important Information' section located on the second page of the appeal form.) <br /> 2. A copy of the entire citation packet. <br /> The citation packet is entitled "Citation and Notification of Penalty", <br /> and may contain several citations. <br /> The completed appeal form(s)and the entire citation packet must be postmarked(or received in this office, if via hand <br /> delivery)within 10 calendar days of the date of this letter. Failure to meet this deadline constitutes grounds for <br /> dismissal of your appeal. (Title 8,Cal. Code Regs,Section 359.1). Mail or hand-deliver the above documents to: <br />