Whenever the director seeks to assess an administrative penalty on any person, the director shall cause to be served upon the person, either by service, in hand, or by certified mail, return receipt requested, a written notice of its intent to assess an administrative penalty which shall include:

(1)  A concise statement of the alleged act or omission for which the administrative penalty is sought to be assessed;

(2)  Each law, rule, regulation, or order which has not been complied with as a result of the alleged act or omission;

(3)  The amount which the director seeks to assess as an administrative penalty for each alleged act or omission;

(4)  A statement of the person’s right to an adjudicatory hearing on the proposed assessment;

(5)  The requirements the person must comply with to avoid being deemed to have waived the right to an adjudicatory hearing; and

(6)  The manner of payment thereof if the person elects to pay the penalty and waive an adjudicatory hearing.