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Freedom of Information Act (FOIA) Request - …

800-662-9278 | (Rev. 8/2017) Michigan Department of Environmental Quality Office use only: Request for Disclosure of DEQ Records under the Freedom of Information Act This Information is required under the authority of 1976 PA 442, as amended. Submit this form to REQUESTOR INFORMATIONLast Name: City: State: Zip: NOTE: Be as specific as possible i n your Request . For help with narrowing your Request , call the Environmental Assistance Center 800-662-9278. Please indicate if you wish to review to receive a copy of the records. Request #2: Request #3: Request #4: Request #5: Additional Comments/Specifics: Please check if there are attachments to this Request If you would like Information from only specific programs, list the Request number(s) ( , Request #1, #2, ALL, etc.)

Title: Freedom of Information Act (FOIA) Request Author: MDEQ Subject: Request for Disclosure of DEQ Records Keywords: FOIA, request, information Created Date

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