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The document is an Activity Notification Form from the California Department of Industrial Relations, specifically for holders of annual permits related to scaffolding, falsework, and trenches/excavations. It requires notification to the Division of Occupational Safety and Health (DOSH) before commencing work, detailing project specifics such as location, type of activity, and safety measures. The form must be completed by a knowledgeable person and can be faxed to the nearest DOSH office.

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Versions	Form popularity	Fillable & printable
2006	4.8 Satisfied (281 Votes)
1994	4.4 Satisfied (231 Votes)

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