Document 6Bp32w1re1o4B5YarrLQopgwd
FILE NAME: Calaveras (CALV) DATE: 1977 Sept 30 DOC#: CALV009 DOCUMENT DESCRIPTION: Government Fines
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'ISION^QF 1NB05TRIL'SAFETY lo h tfljg H D H Q H D *>******0
K B y ^ U L RELATIONS
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On the^- 30tk - day of
,' 1 :J L , a d tatio rfj) was issued to you in accordance with the provisions of
the California Labor Code notifying you of alleged violations at a place of employment located a t_ 2 a S 6 ifa L j
rm ai IB11. Cawarapelle 3
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"TO U ' ARE HEREBY" NOTIFIED ihcrt the'following appealable penalties are assessed based~upon the violations alleged in the
dtationfs):
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Citation No.
Item No*
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Penalty
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A. Citation No. T~ 2 ___
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B. Item No.
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V IO LA TIO N S
C. Penalty * 150 . 15 0 .0 0 2 2 5 -0 0
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150 . 00"
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15 0 .0 0
7* to tal penalty assessed for ALL ALLEGED VIOLATIONS
5 975-00
Signature Name___ _____* - * - A le n n iim r-
30 Iff?
Dal ef Usuane
Payment of all penalties shown is to be'made by check or money order payable to "CAL/O SH A."
'" TU RN ONE CO PY OF TH I5 N O TICE TH YO UR REM ITTANCE AN D M A IL TO ;
DEPARTMENT OF INDUSTRIAL RELATIONS CASHIER, ACCOUNTING OFFICE BOX 603 -SAN -FRANCISCOrCA-- 94101---------------
` Regions
District 9 .
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EMPLOYER COPY
Ident. Na_ D-8T52
CAL/OSHA 1 Rep. N o .
(Additional information o n reverse side)
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C A L /O S H A 3 Rev. October 1 8 7 4