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CUBIT 2
U.8. Ocpartmwrt of Labor
` Stfaty art Haatt jtffmamaon
QUttonjif^Notiflp^Uon^ Ptnatty
Occupational 5afty and ffcalth Adain.
2002 Richard Jonaa Ad., Nachvilla, TK 37215
Suita
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AMI-TIa law p*na an awgtoyaa or tha oeportMty to oatoet 10 any aaa>
aatior a nataart * ha baimaa tha dam to aa eoniaat mm da malad to tha U.S.
of Ufcor Araa Otooa at 9m adtoaaa ahown 19 wading dam (mdutong waahanoa and
dag of ma moa* by tha amptoyar of ttaa Ota*
Bmxrrm mcwiwi>Tiam umjamjL--Tha ** prohibita dtocrtrranatton by an amptoyar agataat an ampttyaa for Wng a ccng-m or tor wardatoQ any rtgraa undar ma Act. An amptoyaa who mmm tmirntm mm daenminatao apamat may da a oantpmm no totor than 90 daya totar trm dtoerMnadon atth tha U4. Oaparmam ot Ufier ttaa Of-
flea at tha
nd in adhpatoPen an tta
-- Tha anetoaad bootaat outmaa amptoyar nghta and naconammin and
oU.S. f Labor
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Citation and Notidcation of Panalty
us Oopartmmit of Uboc Occupational Safety and Haalth Admin.
T7I 37215 Sui"
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wcmca 70 BWOI'BIoHm lam gMa iniPHW or Nt mi--antipij tht eoportunKy to ogam to any Mo* mom dott aot tor > viotaOan * na OUppq trip ato m bo
Tfca aontam mum bo moM to tna U4. of Labor Amo Olloo at dm ad*aaa3ahon
19 wmtanp d*a (Mu** aaatmndi and notaaft of dm mom by dm omptoyar of two Ota* ogn w pWf*
--W1 IKQMTS AND MWtMUm-Ttm atmmd ba mad m ewsomammmmmii omtihai aa<tv mmam.ismtVPmflmM*
1WI aacmaMATTM UNUItUMJL-Ilm m pro-
nano aacrtntnatmn tty an dummy* apatnot an ambloma for
Mr* oampMM or tor wmalainQ a* Mo *mar wa Act.
An wpajp mm oateaa mm ha haa baon daermnatod
apamm may am a annrnmmf no imm man 30 dga aftar wa
dmcnmamaan mm dm U4. Omtwmm m
Ama 9*
flea at ma
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Citation and NotMeadon ol Panatty
US 0ipartMit of Labor
Occupational Safety ana Haaltft Main.
2002
Richard Jem M., 37215
Suita
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moooetton u moao wmtota
. mane* Dow )4.womai^
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r. Opoona hooert NO. l.to9o.
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NOBglQBMW-Tl* mgmt m enptoy or
npwniBw bo oeponurmy o obobi b if sbo mont dm oat lor a mason IT ho btfavaa ma dm ta ba
Tha oonmt must ba mtfad ta tna US. o# uoor AM Ofloo at via addmaSMm
19 woMng day (oadudng noMandi * soami hcodojy at ma mompt ay m yiyoyar d tm Otanon on pwy.
BAWJttl OMCRMHaTWII UMUHWJt- Tho taw pro
non ovinmot bj m
tar
ng a oomptomt or tar
undvMt Act.
An onyoyaa aa baiama Ml ha hoc bomn dautarbitisd
agm may Ra a eampttt < M w 30 day M mo
dbermnaflon toil ma US. Omm of Ubar Am
flea mo
mm ba mad in aontunasan ** ms LTV
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