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Signature Cited Party or Representative Date MAIL COMPLETED FORM WITH A COPY OF THE CITATION TO ARB ADMINISTRATIVE HEARING OFFICE ATTN HEARING CLERK P. STATE OF CALIFORNIA CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY CALIFORNIA AIR RESOURCES BOARD ASD/ED-345 Revised 5/17 Page 1 of 2 State of California Air Resources Board ADMINISTRATIVE HEARING OFFICE In the matter of Name of Cited Vehicle Owner REQUEST FOR HEARING HEAVY-DUTY VEHICLE INSPECTION PROGRAM COMPLETE ONE REQUEST FOR HEARING FOR EACH...
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