div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: DOCUMENT SEPARATOR SHEET - California Department of Industrial src=https:reader036fdocumentsinreader036viewer2022071601613d31ff736caf36b75a7206html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divpDOCUMENT SEPARATOR SHEETp pMMDDYYYYp pMMDDYYYYp pOffice Use Onlyp pDWC-CA form 102322 Rev 112017 Page 1p pAuthorp pDocument Datep pReceived Datep pProduct Delivery Unitp pDocument Typep pDocument Titlepdiv