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STATE OF CALIFORNIA BCIA 8016ERDS orig. 04/2001 rev. 01/2011 DEPARTMENT OF JUSTICE REQUEST FOR LIVE SCAN SERVICE Print Form Electronic Recording Delivery Service Reset Form Applicant Submission CA0349400 ERDS SEC ACCESS GC 27395 ORI Code assigned by DOJ Authorized Applicant Type Type of License/Certification/Permit OR Working Title Maximum 30 characters - if assigned by DOJ use exact title assigned Contributing Agency Information 09956 Agency Aut.

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