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State of California <br />Division of Occupational Safety and Health <br />Cal/OSHA District Office <br />4206 Technology Drive, Suite 3 <br />D <br />Modesto, CA 95356 <br />Phone: (209) 545-7310 <br />Company Name: Jazz Group, Inc. / Imperial Repair Group, Inc. <br />dba Imperial Truck Wash & Repair <br />Inspection Site: 2142 W. Yosemite, Manteca, CA 95337 <br />Mailing Address: 2142 W. Yosemite, Manteca, CA 95337 <br />Issuance Date: FEB 2 3 2012 <br />Reporting ID: 0950624 <br />Index Code: 4024 <br />1 <br />Summary of Penalties for Inspection Number 314995093 <br />Citation 1, General <br />= $ <br />6650.00 <br />Citation 2, Serious <br />= $ <br />2700.00 <br />Citation 3, Serious <br />= .$ <br />5400.00 <br />TOTAL PROPOSED PENALTIES <br />= $ <br />14750.00 <br />Penalties are due within 15 working days of receipt of this notification unless contested. If you are appealing any <br />item of this citation, remittance is still due on all items that are not appealed. Enclosed for your use is a Penalty <br />Remittance Form. <br />If you are paying by credit card (MasterCard): Please have this form on -hand when you are ready to make your <br />C, <br />payment. The company name, index code, reporting ID and Citation number(s) will be required to ensure that the <br />payment is accurately posted to your account. Please go to www.dir.ca.govidosh to access the secure payment <br />processing site. <br />If you are paying by check: Mail this Notice of Proposed Penalties, the Penalty. Remittance Form, along with a <br />C, <br />copy of the Citation and Notification of Penalty to: <br />F-117'tiuq =#Ws <br />CASIHER, ACCOUNTTNG OFFICE <br />P. 0. BOX 420603 <br />SAN FRANCISCO,' CA 94142-0603 <br />Page 1 of 3 <br />