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State of California Department of Justice Clear Form Print REQUEST FOR LIVE SCAN SERVICE BCII 8016 RR 11/09 Applicant Submission CA0349435 ORI Type of Application Code assigned by DOJ Record Review Foreign Adoption Check One Only Job Title Reason for Application Agency Address Set Contributing Agency California Department of Justice 07041 Agency authorized to receive criminal history information Mail Code five-digit code assigned by DOJ P.

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