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Get CA OSHAB Appeal Form 100 2016

AL FORM Note: You have a total of 15 working days from receipt of a citation to file an appeal. Attach a complete copy of your citation package along with this appeal form. Failure to file a completed form may result in dismissal of the appeal. Late appeals will not be accepted unless good cause is shown. Please print legibly or type all information. A. CITATION INFORMATION Please complete the following information as indicated on your citation. 1. Case (Inspection) #: Issuance date: 2. Empl.

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