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Penalties are due within 15 working days of receipt of this Citation and Notification of Penalty unless <br />ccritested. If you are appealinc, any item of the citation, remittance is still due on all items that are no) <br />C, <br />appealed. Enclosed for your use is a Penalty Remittance Form for payment. <br />If you are paying by credit card (MasterCard and Visa), please have the Penalty Rernittan mo' <br />Ge For' <br />hand when you are ready to make your payment. The company name, index code, reporting ID <br />Citation numbcr(s) will be required in order to ensure that the payment is accurately posted to yol <br />account. Please go to www.dir.ca.govidosh to access the secure payment processing site. <br />C. <br />Sheet and the Penalty Remittance Form and mail to: <br />Cashier, Accounting Office <br />P. 0. Box 420603 <br />San Francisco, CA 94142-0603 <br />order for less than the full amount due, and will cash the check or money o7rder as these restrictio <br />conditions, or endorsements do not exist. <br />For violations which you do not contest, you should notify the Division of Occupational Safety and <br />A-111 wo 6 1 ISM owl <br />am <br />W11.111111101966 00"OM <br />of corrected conditions, purchase/work orders related to abatement actions, air sampling results, etc. The <br />MUM • <br />I <br />1="MT <br />1-mcifeii EL gilt, W 'r =Ilr—L'Jyb JUMUIVWX-Eg AEC UUHWLU'=IJA Uit: HUNUUMCUL UUM IS <br />revoked, causing the penalty to double. <br />Note: Return the CAL/OSHA Form 160/161 to the District Office listed on the Citation and as shown <br />below: <br />'JIMT1wil"WIR �-A- ffm� - - <br />4206 Technology Drive. Suite 3 <br />Modesto, CA 95356 <br />Telephone: (209) 545-7310 <br />Citation and Notification of Penalty Page 3 of 14 Cal/OSHA-2 Rev 7/07 <br />