oregon NOTICE OF fireworks VIOLATION

The undersigned official certifies and says:

THAT ON THE DAY OF, 20, AM  PM

LOCATION OF OCCURRENCE

NAMED.O.B.

LASTFIRSTMIDDLEMO/DAY/YR

ADDRESS

STREETCITYSTATEZIPCOUNTY

HEIGHTWEIGHTHAIREYES

PHONE NO. DRIVERS LICENSE NUMBER AND STATE OF ISSUE SOCIAL SECURITY NUMBER

VEHICLE

LIC NOSTATEYEARMAKEMODELCOLOR

PROPOSED PENALTY

OAR 837-12-1160 TYPE IV: UP TO $500 PER OFFENSE

 A: POSSESSION OF $50 OR MORE 1.3G (CLASS B) FIREWORKS WITHOUT NECESSARY PERMITS.

 B: CONDUCTING A PUBLIC FIREWORKS DISPLAY WITHOUT THE NECESSARY PERMITS.

 C: PURCHASE OF 1.3G (CLASS B) FIREWORKS WITHOUT THE NECESSARY PERMITS.

 D: CONDUCTING THE SALE OF 1.3G (CLASS B) FIREWORKS WITHOUT NECESSARY PERMITS.

 E: CONDUCTING A DISPLAY USING UNAUTHORIZED FIREWORKS.

 F: WHOLESALE SALES OF FIREWORKS WITHOUT AN OREGON WHOLESALE PERMIT.

 G: STORAGE OF FIREWORKS BY A WHOLESALER IN AN UNAPPROVED LOCATION.

 H. OTHER

OAR 837-12-1150 TYPE III: UP TO $250 PER OFFENSE

 A: POSSESSION OF $100 OR MORE ILLEGAL 1.4G (CLASS C) FIREWORKS.

 B: SALE OF 1.4G (CLASS C) FIREWORKS WITHOUT THE NECESSARY PERMITS.

 C: SALES OF ALLOWED FIREWORKS TO INDIVIDUALS UNDER 16 YEARS OF AGE.

 D: PURCHASE OF 1.4G (CLASS C) FIREWORKS FROM AN UNLICENSED WHOLESALER.

 E: PURCHASE OF 1.4G (CLASS C) FIREWORKS WITHOUT THE NECESSARY PERMITS.

 F: STORAGE OF 1.3G (CLASS B) FIREWORKS WITHOUT THE NECESSARY PERMITS.

 G. USE OF FIREWORKS THAT PRESENTS A DANGER TO LIFE OR PROPERTY.

 H: OTHER

OAR 837-12-1140 TYPE II: UP TO $150 PER OFFENSE

 A: FAILURE TO HAVE A PERSON 18 YEARS OR OVER INSIDE THE RETAIL SALES STAND.

 B: OMISSION OF REQUIRED WHOLESALER INFORMATION ON FIREWORKS SHIPPED IN OR TO OREGON.

 C: OMISSION OF REQUIRED RETAILER INFORMATION ON FIREWORKS SHIPPED IN OR TO OREGON.

 D: POSSESSION OF $50 TO $100 OF ILLEGAL FIREWORKS.

 E: DISCHARGE OF LESS THAN $50 OF ILLEGAL FIREWORKS.

 F: SMOKING AND/OR LIGHTING OF FIREWORKS WITHIN 100 FEET OF A RETAIL STAND.

 G: OTHER

OAR 837-12-1130 TYPE I: UP TO $75 PER OFFENSE

 A: FAILURE TO POST "NO SMOKING" SIGNS AT THE RETAIL SALES STAND.

 B: FAILURE TO PROVIDE REQUIRED FIRE EXTINGUISHING EQUIPMENT AT THE RETAIL SALES STAND.

 C: FAILURE TO MAINTAIN A CLEAN, ORDERLY AREA WITHIN 20 FEET OF THE RETAIL SALES STAND.

 D: FAILURE TO KEEP A COPY OF THE RETAIL SALES PERMIT AT THE STAND WHILE STAND IS OPEN.

 E: OTHER

I hereby certify I have sufficient grounds to believe that the above named person committed the above offense(s) and that I have served the person with this Notice of Fireworks Violation.

ISSUING OFFICER:

SIGNATURE ID NO.DATE

ISSUING AGENCY

NAMEPHONE NO.

ADDRESSFILE NO.

YOU WILL RECEIVE BY MAIL A CERTIFIED LETTER GIVING YOU DIRECTIONS AS TO YOUR RIGHTS IN THE ABOVE MATTER FROM THE OFFICE OF STATE FIRE MARSHAL

(ISSUING AUTHORITY)

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