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APPLICATION FOR ELECTRICIAN EXAMINATION AND …

State of California DL State ____ Driver s License # _____DIR Labor Standards and Enforcement Payment Amount $

or ( & SSA Report (United States only But NOT Tech Safety Max 300 Max 1,500 Max 1,500 Max 750 Max 300 Max 600 State of California DL State ____ Driver’s License # . DIR – Labor Standards and Enforcement

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