WAC 198-12-140   Adoption of form.  The hearings office hereby prescribes for use by all persons requesting inspection and/or copying or copies of its records, the form set out below, entitled "Request for public records."


     We have received your request for copies of our public records. Please complete the form and return it with the amount required. We will forward the requested copies to you as soon as we receive this form.


     Thank you.


     Return to:


     The Environmental Hearings Office

     4224 6th Avenue S.E.

     Building 2 Rowesix, MS: PY-21

     Lacey, Washington 98504
THE ENVIRONMENTAL HEARINGS OFFICE


REQUEST FOR PUBLIC RECORDS
Date . . . . . . . . . . . . Time . . . . . . . . . . . .
Name . . . . . . . . . . . .
Address . . . . . . . . . . . .
. . . . . . . . . . . .
Description of Records (see index):
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I certify that the information obtained through this request for public records will be used in compliance with chapter 42.17 RCW.
  . . . . . . . . . . . .
  Signature
Number of copies . . . . . . . . . . . .
Number of pages . . . . . . . . . . . .
Per page charge $ . . . . . . . . . . . .
Total charge $ . . . . . . . . . . . .




[Statutory Authority: RCW 34.04.940 and 42.17.250. 81-19-024 (Order 82-1), § 198-12-140, filed 9/9/81. Statutory Authority: RCW 34.04.940, 42.17.250, 42.30.070 and 43.21C.120. 79-12-025 (Order 79-1), § 198-12-140, filed 11/16/79.]