A. Format:

STATE OF NEW MEXICO

BEFORE THE OCCUPATIONAL HEALTH AND SAFETY REVIEW COMMISSION

NEW MEXICO ENVIRONMENT DEPARTMENT,

complainant,

v. No. [insert case no.]

[NAME OF RESPONDENT],

respondent.

NOTICE OF VACATION OF CITATION[S]

complainant, New Mexico environment department, hereby gives notice of the unconditional vacation of [the/all] citation[s] at issue in this matter.

[Signature] _______________________________

[TYPED OR PRINTED NAME]

[Address of signer (use as many lines as necessary)]

[Signer’s telephone number]

B. Usage note: Include certificate of service (Section 1001) [now 11.5.5.1001 NMAC], on or immediately following the signature page.

[1/1/94, 10/1/94, 1/1/96; Recompiled 11/30/01]