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Z 187 935 598 <br />ATTN MARK LIST <br />CENTRAL VALLEY REGIONAL <br />WATER QUALITY CONTROL BOARD <br />UNDERGROUND STORAGE TANK UNIT <br />3443 ROUTIER RD STE A <br />SACRAMENTO CA 95827-3098 <br />iJ <br />Postage 1 $ <br />Certified Fee <br />Special Delivery Fee <br />Restricted Delivery Fee <br />LO <br />Return Receipt Showing to <br />*' Whom & Date Delivered <br />p• Relum Receipt Slo* to Wham, <br />Q Date, & Addressee's Address <br />0 TOTAL Postage & Fees s <br />Cl) Pos ark or DaSe <br />SEN' f <br />a ■Com it Fn 1 r 2"1 or additional services. <br />�■ ■Complete items 3, 4a, and 4b. <br />/ <br />,�( <br />la s ive the <br />f0110W1rtg S8NiC85 (for an <br />�hq 135 <br />41 ■ Print your name and address on thf reverse of this <br />card to you. <br />f o t we can return this <br />extra fee <br />7 ■Attach this form to the frond he n <br />// <br />do�arnlicenumber. <br />1�G�re S� Aft <br />1. ❑ S e <br />Certified <br />d permit. <br />y ■ Write'Return Receipt Requested' on th ai pie <br />to <br />2. ❑ Restricted Delivery <br />Insured <br />t ■The Return Receipt will show to whom the ale <br />as a lvered and She date <br />Merchandise ❑ COD <br />.. <br />delivered. <br />Consult postmaster for fee. <br />YAd <br />ATTN MARK LIST <br />CENTRAL VALLEY REGIONAL <br />WATER QUALITY CONTROL BOARD <br />UNDERGROUND STORAGE TANK UNIT <br />3443 ROUTIER RD STE A <br />! SACRAMENTO CA 95827-3098 <br />5. Received By: (Print Name) <br />g 6. Signature: Addressee rAgent) <br />?. X <br />,4, <br />PS Form 3811, December 1994 <br />4a. Article Number <br />�hq 135 <br />�9B <br />4b. Service Type <br />❑. Registered <br />Certified <br />m <br />❑ Express Mail <br />Insured <br />os <br />S <br />0 Return Receipt for <br />Merchandise ❑ COD <br />rn <br />7. Date of Delivery <br />c <br />YAd <br />i <br />� <br />S. Addressee's ess (Only if requested <br />c <br />and fee is paid <br />rn <br />a <br />4 <br />