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US. Department of Labor ‘Occupational Safety and Heath Administration 3465 Smoke Tree Plaza North Aurora, IL 60842 Phone: 630-896-8700 Fax:630-92-2160 Citation and Notification of Penalty Te nepection Number: 1248634 Lackey Transfer, LLC Inspection Date(s) 07/1772017 - 0V0S/2018, and its successors Issuance Date: 01/10/2018 29988 N. 00 Bast Road Sweat, IL61364 Inspection Si The vioation() described in this Citation and 12th Street aiyard south of ArthurSt by Plymouth Notification of Penalty is (are) alleged 1 have Tube Co. ‘occurred on or about the days) the inspection was Seater, IL 61364 made unless otherwise indicated within the description siven below. “This Citation and Notiication of Penalty (this Citation) describes violations ofthe Occupational Safety and Health Act of 1970, The penalty (es) sted herein is (ae) based on these violations. You mast abate the ‘olations refered to in his Citation by the dates listed and pay the penalties proposed, unless within IS working, days excluding weekends and Federal holidays) fom your receipt of this Citation and Notification of Penally you either call to schedule an informal conference (see paragraph below) or you nla naice of contest 0 the US. Department of Labor Area Office a the adress shown above. Please refer to the enclosed booklet {OSHA 3000) which otlies your rights and responsibilities and which should be read in conjunction with this Form, Isuance ofthis Citation doesnot constitute a finding that a violation ofthe Act has occured unless there isa failure to contest as provided forin the Act or if contested, ualess this Citation i affirmed bythe Review Commission ora court Posting - The law requires that copy ofthis Citation and Notification of Penalty be posted immediatly ina prominent place ator ne the lcation ofthe voltion(s) cited herein, or, if is mat practicable because ofthe ature ofthe employers operations, where it will be readily observable by all affected employees. This Citaion ‘rust remain posted until the violton(s) cited herein has have) been abated, or for 3 working day (excluding ‘weekends and Federal blidays), whichever slong. Informal Conference - Aninformal conference isnot required. However if you wish to have such a ‘conference you may request one with te Area Director during the 15 working day contest period. During sich fn informal conference you may presen any evidence of views which you Believe would support an adjustment to the citation(s) andlor perlty(s) you are considering «request fo a informal conference to discuss any issues related to this Citation and Notification of Penalty, you must tke are to schedule it early enough tallow ie 1 cones afer te informal conference, should you decide 1o do so. Pease keep in mind that a writen eter of intent to contest rst be submitted to the Area Director within 18 working day of your receipt ofthis Citation, The running ofthis Contest period is not nterrupted by an informal conference. you decide to request an informal conference, please complet, remove and post the Natie o Employees next to this Citation and Notification of Penalty as soa asthe ime, date, and place ofthe informal conference have been deierined. Be sure to bring to the conference any and all supporting documentation of exiting conditions 235 well any abatement steps takea thus far. If conditions waran, we can enter into an informal setement agreement which amicably resolves this mater without tigation or contest. Right to Contest — You have the right to cones this Caton and Notification of Penalty. You may contest all citation tems or only individual tems. You may also contest proposed penalties andor abatement dates ‘without contesting the underlying violations. Unless vou inform the Area Director in writing that vou intend {o-contest the citations) and/or proposed penalties) within 15 working days afer receipt the citation(s) ‘and the proposed penalties) will ecome a final order ofthe Occupational Safety and Health Review. ‘Commission and may not he reviewed by any court or agency, Penalty Payment —Penabies are due within 15 working days of receipt of this notification unless contested, (See the enclosed booklet and the additonal information provide related othe Debt Collection Act of 1982) "Make your chock or money order payable to "DOL-OSHA”. Pleas indicate the Inspection Number onthe remitance. You can aso make your payment elecvoniclly on wwew.pay.g0v. On the lel side of the pay. gov homepage. you wil see an option 1 Search Public Fomns. Type "OSHA" and click Go. From the results, cick con OSHA Penalty Payment Form, The direc ink is huipsu/www pay gov/paveov/forms/forminstance huml?asene vFormld=53090334. ‘You wil be required to ener your inspection number when making the payment. Payments ean be made by credit card or Automated Clearing House (ACH) using your banking information. Payments of $25,000 o more require a Transaction ID, and also must be paid using ACH. If you require a Transition ID, please contact the (OSHA Debt Colleton Team st (202) 693-2170. OSHA does not gree to any restrictions or conditions or endorsements put on any check, money order, oF lectronic payment for less than the fall amount dus, and will process the payments a i hese restrictions or conditions do nt exist, Notification of Corrective Action For each violation which you do not contest, you must provide ‘abatement certification tothe Area Director of the OSHA office ising the citation and identified above, This shatement certification iso be provided by letter within 10 calendar days afer each abatement date, Abatement Centfication includes the dae and method of abatement, If the citation indites that the violation was corrected ‘uring the inspection, no abatement cerifieaton is required for that tem. The abatement cerifiation leer must be posed atthe location wiere the violation appeared and the corrective ston ook pace or employees must, otherwise be effectively informed about abatement activities. A sample abatement cerifieation leter is enclosed ‘with this Ciution. In addition, where the citation indicates that abatement documentation i necessary, evidence ‘ofthe purchase or repair of equipment, photographs or video, receipts training records, et. verifying that, abatement has occurred is required to be provided tothe Area Director Employer Discrimination Unlawful ~The law prohibits discrimination by an employer against an employee for fling a complaint ofr exercising any rights under this Act. An employee who believes that he/she hasbeen discriminated against may fle a complaint no later than 30 days after the discrimination coceurred with the US. Department of Labor Area Ofie atthe addres shown above. Employer Rights and Kesponsibilities - The enclosed booklet (OSHA 3000) outines additional ‘employer rights and esponsbliis and shouldbe readin conjunction with his notification Notice to Employees - The lay gives an employee or hisherreresenative the opportunity o objec to ane abatement date set for a violation if heshe believes the date to be unreasonable. The contest rs be mailed to the US. Deparment of Labor Area Ofice atthe address shown above and postmarked within 15 working days (exchiding Weekends and Federal holidays) ofthe receipt bythe employer ofthis Citation and Notation of| Penalty Inspection Activity Data ~ You shouldbe aware that OSHA publishes information on its inspection and ‘lation setivity onthe Interne’ under the provisions ofthe Electronic Freedom ot Information Ast The information elated o these aleged violations will be posted wien our system indieals that yoshave rescived this citation. You are encouraged to review the information concerning your establishment at wwnosha,gow If you have any dispute with he accuracy of the information displayed, please contac his office ¢ US. Department of Labor Occupational Safety and Health Administration NOTICE TO EMPLOYEES OF INFORMAL CONFERENCE ‘An informal conference has been scheduled with OSHA to discuss the citation(s) issued on 01/10/2018. The conference will be held by telephone or at the OSHA office located at 365 ‘Smoke Tree Plaza, North Aurora, IL 60542.0n________at Employees and/or representatives of employees have a right to attend an informal conference. ini sn Nain ey Pgetal tt oss. CERTIFICATION OF CORRECTIVE ACTION WORKSHEET Inspection Number: 1248634 ‘Company Name: Luckey Tansfr, LLC Inspection Site E 12th Street ralyard south of Anhor St by Plymouth Tube Co, Streator, IL61364 Issuance Date: 01/102018, “List the specific method of corretion foreach item on his citation in this package that doesnot eid "Corrected Daring Inspection” and retum te U.S, Department of Labor ~ Occupational Safety and Health Administration, 65 Smoke Tree Plaza, North Aurora, IL 60542 ‘Citation Number ‘wat coected on ‘Citation Number __and Hert Number __was comected on. By (Method of Abatement ‘Citation Number __ and tem Number vas corrected on By (Method of Abatement: Citation Number and Item Number was corrected on. By (Method of Abatement: Citation Number and lem Number was corrected on By (Method of Abatement Citation Number __ and ter Number was comeeted on By (Method of Abatement 1 cent that the information contained in this documents securate and that the affected employees an their representatives have been inforied ofthe abatement Saaue dae pale Peed ane cs NOTE: 29 USC 6s) never oily mats my fue seman recent cecaon ay apis plan ‘ther dosent Heder roe to mnie pura he At sal pon cncion be pnb ne lo me a ‘Sin00 ar xponmen a et moe tha eno ba osm 1: Acopy combed Corte Ation Wrst! she pose foremplyee view USS. Department of Labor Inspection Number: 124863¢ Oseupational Safety and Health Administration Inspection Date(s) 07/17/2017 -ov0S/2018, Issuance Date: 01/102018 (Cliation and Noutcation of Penalty Company Name: Luckey Transfer, LLC Inspection Site: E 12th Stee ilyard south of Arthur St. by Plymouth Tube Co, Streator, IL 61364 a jon 1 Mem 1 Type of Violation: Serious, (OSH ACT of 1970 Section (5)(aX1): The employer didnot furnish employment and a employment which were free from recognized hazards that were causing or likely to cause death or ‘serious physical harm to employees in that they were exposed to falls and caught-n amputation hazards: 918 N, Porter St. in Streator, IL. 61364, warehouse, silo no, 2: on or about August 2, 2017, employees assigned to rinse the silos interior for product changeovers were elevated up (o 13 feet by a forklift supporting a portable personnel-carrying work platform, where they would step off the platform to access a fixed work platform atthe upper portion ofthe silo. Whileon the elevating platform, employees were exposed to fall and caugh-in hazards from the moving components of the mast while extending or lowering, likely to result in multiple traumatic injuries and other physical harm (ingershhands amputation) Abatement documentation is recuired for this item in accordance with the requirements of 29 CFR. 1903. 19(@, ‘Among other methods, feasible nd acceptable methods of abatement include: (1) Prohibit personnel from using the subject personnel-carrying work platform; (2) Provide other approved personnel-carrying platform designed and constructed with a guardrail, system in accordance with American National Standards Institute/Indusrial Truck Standards Development Foundation eniled: ANSVITSDF BS6.1 - 2012 Safety Standard for Low Lift and High Lift Tricks (available at www.TSDForg), or other applicable indusiry and national consensus standards; () Contact the designer and manvfacturer of indusrial silo no, 2 (o inguire about personnel access and sruetural limitations and/or safety restrictions for adding personnel access structures, work platform, ‘guardrails, safety looring kick plates, stairways, and other systems permitting personne! to work safely atthe upper portion ofthe silo; (4) Insal ther, safe access means (eg. fixed or mobile stairways, seaffolds, scissor lift aerial lift, ete) For employees to acess silo no.2 fixed, horizontal, wor platform; (6) Provide hand tools and other special tools to complete work tasks safely from the ther access ‘means including athe personnel carrying equipment, ‘Sm thc Nain Ry fin nem a map eh pein inn Nat ey Peat osm © US. Department of Labor Inspection Number: 1248684 (Occupational Safety and Health Administration Inspestion Date(s: 07/17/2017 -01/05/2018 Issuance Date 0/10/2018 Citation and Notification of Penalty, Company Inspection Site: sme: Luckey Transfer, LLC 12th Sircetrailyard south of Arthur St. by Plymouth Tubs Co, Stestor, TL 61364 (6) Perform job-harard-analysis for warehouse employees tasked with connecting product transfer Fhoses and rinsing interior on silo no, 2 to idenify each work task and evaluate ability to perform it safely. Date By Which Violation Must be Abated: 02/20/2018 Proposed Penalty $8315.00 Sexe ph fs Cin a Nina ely or fran a cna hn eps US. Department of Labor Inspection Number: 1248634 ‘Occupational Safety and Health Administration Inspection Date(s: 07/17/2017 -01/082018, Assuance Date: 01/10/2018, Citation and Notification of Penalty ‘Company Name: Luckey Transfer, LLC Inspection Site: E 20h Steet railyrd south of Arthur St. by Plymouth Tube Co. Suestor, 61368 Citation | Wem 2. Type of Violation: Serious 29 CFR 1910-28((1)():(1) Unprotected sides and edges. () Except as provides elsewhere in his section, the employer must ensure shat each employee on a walking-working surfce with an Unprotected side or edge that is fet (1.2m oF more above a lower level is proected rom falling by one oF more ofthe following: (A) Guardrail systems; (B) Safety net systems; (C) Personal fll protection systems, such as personal fall arest, travel restraint, of positioning systems, 918 N. Porter Si. in Sttewor, IL 61364, warehouse, silo no. 2: on or about August2, 2017, employees assigned to rinse the slo's interior for product changeovers were exposed to falling from the ‘unprotected edge of the work platform while using a water hose for rinsing the silos interior, Employees were exposed oa fll hazard of up to 13 fet. ‘Abatement documentation is required for this item in accordance with the requirements of 29 CFR 1903:19¢4) Date By Which Violation Must be Abated: 02/20/2018 Proposed Penalty: $1641.00 ‘cpp | gh tit Chor an San ft ay rnin ng O ° US. Department of Labor Inpecon Number: 864 Dipl Sty and He dnsisraon tapes Data) 192017 -01nS2018 Issuance Date: 01/102018, Citation and Notification of Penalty Company Nat Inspection Site Luckey Transfer, LLC 12th Steet rallyard south of Arthur St. by Plymouth Tube Co, Stator, IL 61364 The alleged violations below have been grouped because they involve similar or related hazards that ‘may inerease the potential for injury or illness. Citation | Item 3. Type of Violation: Serious 29 CFR 1910.178()(1)(: The employer shall ensure that each powered industrial tuck operator is competent to operate a powered industrial truck safely, as demonstrated by the successful completion ofthe training and evaluation specified in tis paragraph (I). 918 N, Porter St, in Stestor, IL 61364, warehouse, powered industrial trucks (counter-balanced ropane-gas powered forkifis) on or about July 17, 2017, employees were permitted to operate Forklifts for regular mechanical material handling tasks without receiving adequate operator's initial training in truck-related and workplace-related topics through formal instruction, practical training, and ‘evaluation applicable o assigned work tasks to ensure competency in safe operation. Employees were ‘exposed to struck-by hazards likely to result in serious injury. ‘Abatement documentation is required for this item in accordance with the requirements of 29 CPR 1903.19¢¢) Date By Which Violation Must be Abated: 02/20/2018 Proposed Penalty: $8315.00 Secu gh fi Chin ae Naan oy fr nomen mpaaan ele ihn pei, a cu US. Department of Labor Inspection Number: 1248634 ‘Ocenpational Safty snd Heal dwn Date) 07/172017 01/08/2018, Citation and Notification of Penalty Company Name: Luckey Transfer, LLC Inspection Site: E 12th Siretalyard south of Ahr St. by Plymouth Tube Co, Stetoy, HL 61364 Citakion 1 Kem 3b Type of Vottion: Serious 29 CFR 1910.178()(2\i): Training shall consist of a combination of formal instruction e.g, lecture, discussion, interactive computer learning, videotape, written material), practical training (demonstrations performed by the trainer and practical exercises performed by the trainee), and valuation ofthe operator's performance in the workplace. 918 N. Porter St in Streator, 1.61364, warehouse, powered industrial trucks (counterbalanced ropane-gas powered forklifts): on or about July 17,2017, employees permitted to operate forlifs for regular mechanical material handling tasks were not provided with adequate operators inital training ‘content in truck-related and workplace-elated topics that included formal instruction, practical training, and evaluation applicable to ther assigned work asks. Employees were exposed to siruck-by hhazards likely o result in serious injury. Abatement documentation is required for this item in accordance with the requirements of 29 CFR 1903.19(2), Date By Which Violation Must be Abated: 02/20/2018 ‘Sepa | enh fC Koti Fey arora capone hand apni, US. Department of Labor Occupational Safety and Health Administration Inspect Issuance Date: 072018 1: Luckey Transfer, LLC Inspection Site: [12th Steet ailyard south of Artur St by Plymouth Tube Co, Siveaior, HL 61364 ‘Citation 1_ltem 3 ¢ Type of Violation: Serious 29 CFR 1910.178(1(3)(i). The employer did not ensure that each powered industrial truck operator ‘complete initial training in workplace-elated topics including, (I) Other unique or potentially hazardous environmental conditions in the workplace that could affect safe operation: 918 N. Porter St in Streator, IL 61364, warehouse, slo no. 2, powered industrial trucks (counter- balanced propane-gas powered forklifts), personnel-carrying work platform: on or about August 2, 2017, ferklift operators were assigned to elevate personnel in an unapproved work platform (unique ‘workplace condition) for connecting product iransfer hoses and rinsing the silos inerior for product cchangecvers. Operators dil not receive adequate intial traning informal topics and practical exercises pertaining to safely elevating personne! inthe work platform while operating ruck and its lifting controls Employees elevated inthe work platform were exposed to fll hazards up to 13 feet likely 10 result in serious injury, and other caught-in hazards from moving forklift parts (mast, liting carriage) 'kely tc result in fingers/hands ampotation Abatement documentation is required fortis item in accordance with the requirements of 29 CFR, 1903.15), ‘Date By Which Violation Must be Abated: 02/20/2018 Scratch tls af Natcion ey fran noon cela scons Clan nd en ty ge oc ose US. Department of Labor Inspection Number: 1248634 ‘Occupational Safety snd Health Administration Inspection Date(s): 07/17/2017 -O1/s/2018 Issuance Date: 01/102018 Citation and Notification of Penalty Company Ni Inspection Sit 2: Luckey Transfer, LLC 1th Sretrailyard south of Arthur St. by Plymeuth Tube Co, Steaor, 1. 61364 Citation 1 Mem 3 d ‘ype of Violaion: Serious 29 CFR 1910.178()(4)ii): An evaluation of each powered industil truck operator's performance shall be conducted at least once every three years IBN. Porter St in Stretor, IL 61364, warehouse, powered industrial trucks (counter-balanced propane-gas powered forklfs): on or about July 17, 2017, employees operating forklifs were not evaluated at least once every three years fo ensure proficiences in safe operating knowledge and skills Employees were exposed to struck-by and crushed-under hazards likely to result in serious injury from ‘moving forkifis handling palletized loads, super Sacks, and carrying personne in a work platform at height. Abatement documentation is required for this item in accordance with the requirements of 29 CFR 1903.19(@), Date By Which Violation Must be Abated: nono Sects | ho Cond ion Ry llr carn si ih nd aeons hn nt tien oy ge 20ct8 sia oO US. Department of Labor Inspection Number: 1248634 ‘Occupational Safety snd Health Adminis o7/172017 -ovasr2018, Citation and lion of Penalty ‘Company Name: Luckey Transfer, LLC Inspection Site: E 120h Street aiyard south of Arthur Si. by youth Tube Co, Steator, IL 61354 Citation | Kem 4. Type of Violation: Serious 29 CFR 1910.178(m)(2): No person shal be allowed fo stand or pass under the elevated postion of any truck, whether loaded or empty. 918 N. Porter St. in Streator, I. 61364, warchouse: on or about August 2, 2017, employees assigned to ‘unload plastic pellets from bulk bags (super sacks) handled by powered industrial trucks (Forklifts) wore required (o get under elevated portions of loaded trucks to untie the bottom discharge chute on super sack’s for transferring product, and to retie it during active product tansfes. Employees were exposed to crushing hazards from falling/lowering frkli's components (orks iting carriage, mast) and/or falling load (super sack). Abatement documentation is required for this item in cordance withthe requirements of 29 CFR 1903.19(2) Date By Which Violation Must be Abate 0272072018, Proposed Penalty: $8315.00 Scop nh his Casio a Nn Py fr nomen nemo nes ad nie US. Department of Labor Inspection Number: 1248634 (Occupational Safety and Heath Administration Inspection Date(s): 07/17/2017 01/08/2018 eewance Date: OV102018 Cilation and Notification of Penalty Company Name: Luckey Transfer, LLC Inspection Site: E 12th Steet alyard south of Arthor St. by Plymouth Tube Co, Streator, IL 61364 Citation 1_ltem 5 Type of Volaion: Serious, 29CFR 1910.332(b)(1): Practices addressed inthis standard. Employees shall be trained in and familiar wit the safety-related work practices required by 1910.33] through 1910.335 that pertain to their respective job assignments. 12th Siteot Norfolk Southern ral yard, Streator, Ilnois, West indostral rll spur, ACFX 59074 center flow covered hopper ral car - ox or about July 17,2017, the employer failed to provide waning in pertinent electrical safety-related work practices to employees assigned to climb vertical fixed ladders ‘on parked railcars where they were exposed to contact with a high voltage (IRV) electric power distribution line likely to result in electrocution, Work positions to access the roof, walk on running. boards, and get samples were inthe immediate proximity (within 4-12 inches) to energized, unguarded. and not insulated high voliage electric power line running parallel to and above ralears ‘Abatement documentation is required for this item in accordance with the requirements of 29 CFR 1903.19(4) Date By Which Violation Must be Abated: 02/20/2018 Proposed Penalty $12934.00 ‘Sepa | gh os Ci ean Noi ey rina een angle ind oni, tn so in oy rage oes ona US. Department of Labor Inspection Number: 1248634 ‘Occupational Safety snd Health Administration Inspection Date(s): 07/17/2017 - 01/0/2018, Issuance Date: 01/102018, Citation and Notification of Penalty ‘Company Name: Luckey Transfer, LLC Inspection Site: E 20h Street railyard south of Anhur St. by Plymouth Tube Co,, Seto, IL 61368 ‘The alleged violations below have been grouped because they involve similar or related hazards that ‘may increase the potential fr injury or illness. Citation 1 Item 6.a Type of Violation: Serious: 29 CFR 1910.333(€)(3): "Overhead lines.” If work isto be performed near overhead lines, the ines shall be deenergized and grounded, or other protective measures shall be provided before work is started. Ifthe lines are to be deenergized, arrangements shall be made with the person or organization that operates or controls the electric circuits involved to deenergize and ground them. If protective ‘measures, such as guarding, isolating, or insulating, are provided, these precautions shall prevent employees from contacting such lines diectly with any part oftheir body or indirectly through conductive materials tools, or equipment: 12th Steet Norfolk Southern ral yard, Sweator,Mlinois, West industrial ral spur, ACPX $9074 center ow covered hopper ral car -on or about July 17, 2017, unqualified employees assigned to climb vertical fied ladders on parked railcars to access rooftop hatches for taking samples of plastic pellets with a jobmade tool were exposed to contact witha high voltage (12kV) electric power distribution Tine. This hazard was likely to result in electrocution as the employer failed to ensure safe working conditions by deenersizing subject conductor and/or providing personnel safeguards against contact. ‘Work positions to access the roof, walk on running boards, and get samples were inthe immediate proximity (within 4 - 12 inches) to energized, unguarded, and not insulated high voltage electric power line running paralil to and above railcars, Abatement documentation is req 1903.19%¢, 4 for his item in accordance with the requirements of 29 CFR Date By Which Violation Must be Abated: 0272072018 Proposed Penalty: $12934.00 Seco trp ti iso Neti ey lr fort ce empyemas exin nd int ety Page sors sia US. Department of Labor 248634 (Oceupational Safety and Health Administration Inspection Dates): 07/172017 -OV0S/2018, Issuance Date: 01/102018, Citation and Notification of Penalty Company Name: Luckey Trarsfer, LLC Inspection Site: E 12th Sweet ilyard south of Arthur St by Plymouth Tube Co, Steator, IL. 61364 Citation 1_ Item 6 b Type of Violation: Serious, 29 CFR 1910:333(c).3)@).A).: When an unqualified persons working in an elevated position nar ‘overhead lines, the locaton sll be such that he person and the longest conducive obec he or she may contact cannot eome closer to any unguarded, energized overtead ln than 10 fet (305 cm for Yoltges to ground SOKV or below 12th Steet Norfolk Southern nal yard, Sweator, Ilinois, West industrial rail spur, ACFX 59074 center flow covered hopper railcar -on or about July 17, 2017, unqualified employees assigned to climb vertical fixed ladders on parked railcars to access rooftop hatches for taking samples of plastic pellets with a jobsmade tool were expased to contact witha high voltage (12kV) electric power distribution Tine likely to result in eleetrocution. The employer failed to ensure safe working clearances of at least 10 feet Irom energized conduciors. Work positions to access the roof, walk on running boards, and get iples were inthe immediate proximity (within 4 - 12 inches) to energized, unguarded, und not Insulated high voluge electric power line running parallel to and above railars, Abatement documentation is required fortis item in accondance with the requirements of 29 CFR 1903.19(2), Date By Which Violation Must be Abated: 0220/2018 Jacob Scott ‘ara Director Seems dua fi isn el Nate ey freien noseran ele ihn sonics US. Department of Labor Occupational Safety and Health Administration 365 Smoke Tre Plaza North Aurora, IL 60542 Phone: 630-896-8700 Fax: 630-892-2160 INVOICE / DEBT COLLECTION NOTICE Luckey Transfer, LLC 12th Street railyard south of Arthur: ‘owiono18 by Plymouth Tube Co, Streator, IL 61364 Number 1248634 $62484.00 TOTAL PROPOSED PENALTIES $362454.00 ‘Summary of Penalties for Insp‘ Citation ‘To avoid additional charges, please remit payment promptly to this Area Ole forthe total amount of the ‘uncontested penalties summarized above. Make your check or money order payable to: "DOL-OSHA”, Please indicate OSHA's Inspection Number (indicated above) on the remittance. You ean also make your payment electronically on wwwpay.g0V. On the lef side the paygov homepage, you wll se an option to Search Public Forms. Type "OSHA" and click Go. From ie rele click on OSHA Penalty Payment Foru, The eet ink shaw py gov /payye/ Torn fora ie agency Pormig=s ‘Yu wil be required to enter yeu inspection number when naking the payment. Payments can be made by credit card or ‘Automated Clearing House (ACH) using your banting information. Payments of $25,000 or more require & ‘Transaction ID, and also must be paid using ACH. Ifyou require a Transaction ID, please contact the OSHA Debt Collection Team at 202) 693.2170. OSHA does not agree to any restrictions or coniins or endorsements put on any check, money order, oF electronic payment for less than the full amount du, and wil cash the check oF money order a if these restrictions or conditions donot exis. I personal check i issued, it wil be converted ito an electronic fund transfer EFT). This means that our ‘bank will copy your check and use the account information on ito electronically debit your account forthe amount ofthe check. The debit from your account wil then usually oceu within 24 hours and willbe shown on ‘your egular account statement, You sill not ecese your original check back, The bank will estoy your ‘original check, but will keep a copy of it. Ifthe EFT cannot be completed because of insficient fans or closed account, the bank will tempt to make the transfer upto 2 Gime c Pursuant to the Debt Collection Act of 1982 (Public Law 97-368) and regulations ofthe U.S. Department of Labor 29 CFR Par 20), the Occupational Safety and Health Adminstration i equired to asses intrest, delingoet charges, and administrative corte For the colletion of delinquent penalty debts for lations of Ue ‘Occupational Safety and Health Act Int Interest charges wil be assessed stan annual rate determined by the Secretary ofthe Treasury on [penalty debe amounts not paid within one month (30 calendar days) ofthe date on which the debt amount ‘becomes due and payable (penalty dve dat). The cure interest ate is one percent (142). Interest will accrue fromthe date on whieh the penalty amouns(as proposed or adjusted) become a final order of the Occupational Safety and Health Review Commission (thats, 1S working days from you receipt ofthe Citation and Notification of Penalty), unless you fil a nosice of cones. Interest charges will be waived if he fll amount ‘owed is paid within 30 calendar days of the final onder Delinquent Charges: A deb is considered delinquent if it has not been paid within one month (30 ealendae ays) ofthe penalty due date or if satisfactory payment arrangement has not been made, I the deb remains

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