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� � T eri2il <br /> ■ Complete Items 1,2,and 3. ' ' • <br /> Item 4 if Restricted Delivery is desiredplete A X Si nature <br /> ■ Print your name and address on the reverse g <br /> SO that we can return the card to you. Jc�o ❑Agent <br /> ■ Attach this card to the back of the B. R ivedb <br /> mailpiece, ❑Addressee <br /> or on the front if space permits. U � 10� <br /> I '�7% i Date of Delivery <br /> t• Article Addressed to: _ <br /> D' is a ad7ress different from it 11 ❑Yes <br /> If YES,enter.deli ry pdc elow: <br /> SHELL I-5 4 F-1 No <br /> ATTN: JOE DANGTRAN ENVI;OWkNT HEALTH <br /> 717 W 8TH ST ERMIIPSERVICES <br /> STOCKTON CA 95206-1815 3. Service Type <br /> RE 717 w 8T11 ST Certified Mail ❑ <br /> RTN:SR E3Registered Express Mail <br /> ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 2. Article Number 4. Restricted Delivery?(Extra Fee) <br /> ( ansfer from service label) -'009 3 410 E3 Yes <br /> 0001 8274 5o4 <br /> PS Form 381 1, February 2004 <br /> Domestic Return Receipt 5 <br /> 102595-02-M-1540 <br />