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p 590 425 500 <br /> ATiN ZANIES E BRATHOVDE CHG <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> Postage $ <br /> Certified Fee <br /> special Delivery Fee <br /> Restricted Delivery Fee <br /> tn <br /> 0Retum Receipt Showing to <br /> r Who &Date Delivered <br /> = Ret,,Receipt ging to Whom. <br /> CL <br /> Q Date,&Addressee's Address <br /> C TOTAL Postage&Fees <br /> 00 <br /> c'') Postmark or Date <br /> 1 11 + <br /> ;; <br /> SE ,� <br /> a .■o plete items 1 and(o i afao wish to receive the <br /> m ■Complete items 3,4a,ai_ j I ( 1 following services(for an <br /> w •Print your name and address the reverse of this form so tha a an retur s ra fee <br /> card to you. <br /> > <br /> 'Attach this farm to the front th r or a t t_ ❑ SS U <br /> 4) permit. <br /> d ■Write'Return Receipt Requ ed on the mailpi b ow the article number. 2. ❑ Restricted Delivery <br /> « ■The Return Receipt will show to whom the article delivered and the date ., <br /> o delivered. Consult postmaster for fee. a <br /> o � <br /> d ATTN .TAMES E BRATHOVDE CHG 4�� Number <br /> a CENTRAL VALLEY REGIONAL V�_/ C/ 'T l✓t✓ <br /> 4b.Service Type «' <br /> E WATER QUALITY CONTROL BOARD d <br /> 0 <br /> 3443 ROUTIER RD STE A ❑ Registered Certified <br /> e) SACRAMENTO CA 95827-3098 ❑ Express Mail El Insured <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> a7.Date of Delivery 0 <br /> z 0 <br /> n 5.Received By: (Print Name) 8.Add® e re if requested <br /> w and fee is p id) t <br /> it h <br /> 6.Signature:(Addressee or Agent) <br /> o n <br /> DOC—Q014 n—.,k—ioee I nAmP.qtir Rpttirn Rprpint <br />