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r <br /> • B.i z of paliva <br /> r • 1J.(please Print Dearly) ry <br /> • • - A. Rece YJ L ' <br /> • • • • Also complete <br /> COMPLETE . and 3. <br /> ■ Complete items 1,2, is desired. n <br /> nplete items 1,2,and 3.Also complete A.,}Rbi by(Pleas fwIf�Ierly) e. a elivery item 4 if Restricted Delivery 00 the reverse G E3 Addressee <br /> t 4 if Restricted Delivery is desired. �sv ■ Print our name and address OU t'r <br /> to <br /> it your name and address on the reverse At that we can return the card p address ddte entaddress <br /> Prem item es <br /> C. Si net � Attach this card to the back of the mail tete, address <br />:hat we can return the card to you. Agent ace permits. D. Is des a ter delivery below: No <br /> Ch this card to the back of the mailpiece, X ❑Addressee or on the front if space It YES, <br /> In the front if space permits. <br /> D. Is delivery address different from term 17 ❑Yes 1. Article Addressed to: r�•��T T` <br />;le Addressed to: If VES,enter delivery address below: ❑No OFFICER <br /> UNIT IV 7TN EXECUTIVE <br /> =NTRAL VALLEY REGIONAL <br /> ITER QUALITY CONTROL BORAD ❑Express Mail <br /> rTN MARTY NARTZELL g. Service 7YPe <br /> 143 ROUTIER RD STE A3098 J$'Gertified Mail ❑Return Receipt for Merchandise <br /> ENTRAL VALLEY REGIONAL 95827- R istered <br /> tCRAMENTO CA ❑ <br /> ATEA QIIALITY CONTROL BOARD psured Mail Gra Fee) O Yes <br /> 3. Service Type Restricted Delivery? <br />'IDERGROUND STORAGE TANK UNIT 121-Certified Mail ❑Express Mail 4 <br /> 143 ROUTIER RD STE A ❑ Registered ❑Return Receipt for Merchandise rj 778 r45 <br /> ACRA'4F.NTO CA 95827-3098 11 Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extre Fee) ❑Yes from service label) ` 102595_ge_M_t7g9 <br /> 2. Article Number(COPY <br /> ole Number(Copy from service label) O Z y /- �� �/ Domestic R um R�ei <br /> t <br /> p <br /> L5 - a(o off•/S �.S97S P PS Form 3811,0uly,s9s <br /> mm 3811,July 1999 Domestic Return Receipt 1174 102595-99-M-1789 <br /> Z 145 626 214 I <br /> US Postal Service <br /> Z 145 626 215 Receipt for Certified Malli. <br /> No Insurance Coverage Plovi&d. <br /> US Postal Servlco Do not use for International Mail(See reverssa <br /> Receipt L4 Cgrtified Mail ATTN EXECUTIVE OFFICER <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse CENTRAL VALLEY REGIONAL <br /> Sent 1° WATER QUALITY CONTROL BORAD • <br /> ATTN MARTY HARTZELL 3443 ROUTIER RD STE A <br /> ISACRAMENTO CA 95827-3098 <br /> CENT. VALLEY REGIO14 i. <br /> WATER QUALITY CONTROL BOARD <br /> UNDERGROUND STORAGE TANK UNIT <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA95827-3098 I Restricted Delivery Fee <br /> N <br /> m Return Receipt Showing to <br /> Whom 8 Date Delivered <br /> Restricted Delivery Fee 'a Realm Receipt Showirg to Whom. - <br /> °t < Date,&Addressees Address <br /> rn Retum Receipt Showing to <br /> Wham&Date Delivered G <br /> Realm Receipt Showing to Whom, O� TOTAL Postage 8 Fees $ <br /> Date,B Addressee's AdAess M Postmark or Date <br /> C aW TOTAL Postage 8 Fees $ LL <br /> € Postmark or Date d <br /> y <br /> a <br />