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California Public Records Act Request

State Water Resources Control Board (Water Boards) Division of Administrative Services (DAS) 1001 I Street, Sacramento, CA 95814 Attn: Harvinder Dhanda Phone: (916) 324-7606 California Public Records Act Request (DAS/ Contracts & Procurement Unit) REQUESTORS INFORMATION: Name of Individual and/or Company Requesting Records : Date: Address: Phone No: City: State: Zip: Fax No: Contact Name: E-Mail Address: Please complete one copy of this form for each Public Records Act Request .

have records subject to release within 10 calendar days of receipt of the request. There will be a $0.25 per page charge, and you will be notified of the cost in advance of copies being made.

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Transcription of California Public Records Act Request

1 State Water Resources Control Board (Water Boards) Division of Administrative Services (DAS) 1001 I Street, Sacramento, CA 95814 Attn: Harvinder Dhanda Phone: (916) 324-7606 California Public Records Act Request (DAS/ Contracts & Procurement Unit) REQUESTORS INFORMATION: Name of Individual and/or Company Requesting Records : Date: Address: Phone No: City: State: Zip: Fax No: Contact Name: E-Mail Address: Please complete one copy of this form for each Public Records Act Request .

2 Mail or e-mail the form. You will be advised as to whether or not we have Records subject to release within 10 calendar days of receipt of the Request . There will be a $ per page charge, and you will be notified of the cost in advance of copies being made. There will be additional charges for copies of information in other forms ( , cassette tapes, VHS, etc.). There will be no cost if the requested information can be delivered electronically. SPECIFY TYPES OF INFORMATION REQUESTED: 08/2016


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