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I <br /> ! <br /> i <br /> I MAILING OFFICE i <br /> Ik <br /> 1. Do not furnish this form to the customer. Help the customer <br /> complete this form and carefully compare it to the customer's receipt. <br /> 1 <br /> 2. Collect fee, if required, and forward this form to the delivery office. <br /> i <br /> f DELIVERY OFFICE ; <br /> { <br /> i 1. If fee is not attached or form is not postmarked to show fee previously <br /> paid, return this form to the mailing office. <br /> f <br /> 2. Complete items 11-16. } <br /> 3. After completion, detach bottom portion and deposit in mailstream. <br /> Destroy this portion. j <br /> i <br /> i <br /> I <br /> Detached from f=orm 3811-A,July 1993 •us.aovsrrrebmPrhthpplry! Lexi-3422-7zi0=0 <br /> United States Postal Service <br /> (Enter name and address <br /> of customer) MAIL <br /> i <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIOiN <br /> P 0 BOX 388 <br /> STOCKTON CA 95201-0388 <br /> i <br /> t <br /> I <br /> f i <br /> i <br /> i > <br /> i <br /> i <br /> 1 <br /> i <br /> 1P <br /> 9 <br /> e� ' <br />