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State of California <br /> Department of Industrial Relations1`,;w <br /> Division of Occupational Safety and Health a <br /> Modesto District Office <br /> 4206 Technology Drive, Suite 3 <br /> Modesto, CA 95356 <br /> Phone: (209) 545-7310 Fax: (209) 545-7313 <br /> NOTICE OF PROPOSED PENALTIES <br /> Company Name: Pacific Car Wash & Marketplace, Inc. 8 <br /> Establishment DBA: <br /> and its successors APR 0 9 20'- <br /> Inspection Site: 4405-4415 Pacific Ave, Stockton, CA 95207 ENVIRONM <br /> ENTA: <br /> Mailing Address: 4405-4415 Pacific Ave, Stockton, CA 95207 <br /> Issuance Date: MAR 0 2 2015 <br /> Reporting ID: 0950624 <br /> CSHOID: G0994 <br /> Summary of Penalties for Inspection Number 1021222 <br /> Citation 1 Item 1, General $400.00 <br /> Citation 1 Item 2, General $400.00 <br /> Citation 1 Item 3, General $400.00 <br /> Citation I Item 4, General $500.00 <br /> Citation 2 Item 1, Serious $14400.00 <br /> Citation 3 Item 1, Serious $14400.00 <br /> Yn. <br /> y <br /> Penalties are due within 15 working days of receipt of this notification unless contested. If you are <br /> appealing any item of this citation, remittance is still due on all items that are not appealed. Enclosed <br /> for your use is a Penalty Remittance Form. <br /> If you are paying electronically: Please have this form on-hand when you are ready to make your <br /> payment. The company name, reporting ID and Citation number(s) will be required to ensure that the <br /> payment is accurately posted to ` your account. Please go to <br /> www.dir.ca.gov/dosh/Ca[OSHA_PaymentOption.htmi to access the secure payment processing site. <br /> Additionally, you must also mail the Penalty Remittance Form to the address below. <br /> If you are paying by check: Mail this Notice of Proposed Penalties, the Penalty Remittance Form, <br /> along with a copy of the Citation and Nafification of Penalty to: <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> CASHIER, ACCOUNTING OFFICE <br /> P. O. BOX 420603 <br /> SAN FRANCISCO, CA 94142-0603 <br /> See pages I through 4 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. <br /> Citation and Notification of Penalty Page 11 of 14 Cal/OSHA-2 Rev 12/2014 <br />