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PENALTY PAYMENT OPTIONS AM Penalties are due within 15 working days of receipt of this Citation and Notificati o unless contested. If you are appealing any item of the citation, remittance is still due on a t of appealed. Enclosed for your use is a Penalty Remittance Form for payment. If you are paying by credit card (MasterCard and Visa), please have the Penalty Remittance Form hand when you are ready to make your payment. The company name, index code, reporting ID, and Citation number(s) will be required in order to ensure that the payment is accurately posted to your account. Please go to www.dir.ca.gov/dosh to access the secure payment processing site. If you are paying by check, return one copy of the Citation, along with the Notice of Proposed Penalties Sheet and the Penalty Remittance Form and mail to: Department of Industrial Relations Cashier, Accounting Office P. O. Box 420603 San Francisco, CA 94142-0603 CAL/OSHA does not agree to any restrictions, conditions or endorsements put on any check or money order for less than the full amount due, and will cash the check or money order as if these restrictions, conditions, or endorsements do not exist. NOTIFICATION OF CORRECTIVE ACTION For violations which you do not contest, you should notify the Division of Occupational Safety and Health promptly by letter that you have taken appropriate corrective action within the time frame set forth on this Citation and Notification of Penalty. Please inform the District Office listed on the Citation by submitting the CAL/OSHA Form 160 and/or 161 with the abatement steps you have taken and the date the violation was abated,together with adequate supporting documentation, e.g.,drawings or photographs of corrected conditions,purchase/work orders related to abatement actions, air sampling results, etc. The adjusted penalty for serious and general violations has already been reduced by 50% on the assumption that the employer will correct the violations by the abatement date. If the CAL/OSHA Form 161 is not received in the District Office within 10 days following the abatement date, the abatement credit is revoked, causing the penalty to double. Note: Return the CAL/OSHA Form 160/161 to the District Office listed on the Citation and as shown below: Division of Occupational Safety and Health 4206 Technology Drive, Suite 3 Modesto, CA 95356 Telephone: (209) 545-7310 Citation and Notification of Penalty Page 3 of 14 Cal/OSHA-2 Rev 9/2012