Example: air traffic controller

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

Tags:

  Request

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of Freedom of Information Act (FOIA) Request - …

1 800-662-9278 | (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.)

2 In the appropriate field(s): AQD DWMAD Non-community Water Supply DWMAD Public Water Supply/Drinking Water OGMD (Section, Township, Range required)RRD BEA only RRD Environmental Remediation (Part 201) RRD Leaking Underground Storage Tanks (Part 213) RRD Superfund WMRPD Hazardous Waste WMRPD Medical Waste WMRPD Radiological ProtectionWMRPD Solid Waste / Scrap TiresWRD Groundwater WRD Storm Water WRD Water Permits WRD WetlandsFor Consultant Use Only Below This LineFOIA Number:Date Due:10-Day ExtensionFee Wai ver DeniedPhone N umber: Submission Date: First Name: Email: Company Name or Organization:Mailing Address: Provide a detailed description of the Information you are requesting.

3 To thoroughly search our records, the following Information is required: facility name, street address, city, and #1: Firefox or Internet Explorer are recommended to submit this form


Related search queries