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,?24_364 4A-5 -- <br /> 'AT ANDERSON <br /> 85 __'ATANDERSON <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 /> APR 2 8 �9 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Defivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> _ Return Recut Shoktq to Whom, <br /> g Date,&Addressee's Address <br /> O TOTAL postage&Fees $ <br /> co <br /> Postmark or/Date <br /> 0 <br /> d SENDE ceive the <br /> V1 <br /> oComplet emM following$services(for an <br /> m e Complete items 3,4a,and 4b. return this r ¢a 0 <br /> w sprint your name and address on the reverse of to 1 extra f pp u <br /> card to you. k 1. ❑ Addressees d ress <br /> d o Attach this form to the front of the e o <br /> permit. <br /> y opermitWrite Retum Receipt Requested'on the mailpiece low the icle number. 2.❑ Restricted Delivery 1 <br /> t aThe Return Receipt will show to whom the article w s delivered and the date Consult postmaster for fee. <br /> delivered. d <br /> 0CL 14a.Article�Nuumberr pc <br /> ATTN PAT ANDERSON <br /> CENTRAL VALLEY REGIONAL 4b.Seryice Type d <br /> WATER QUALITY CONTROL BOARD [IRegistered Certified <br /> UNDERGROUND STORAGE TANK UNIT ❑ Express Mail ❑ Insured <br /> 3443 ROUTIER RD STE A <br /> ❑ Return Receipt for Merchandise ❑ COD w <br /> SACRAMENTO CA 95827-3098 <br /> 7,Date of Delivery <br /> 0 <br /> T <br /> S.Rece'yed y (Print Name) 8.Addressee's A r ss(Only if requested 47 <br /> ?� and fee is pia <br /> W <br /> Q <br /> 6. ign r ddresse or n�l � <br /> P Form 3811, Decembe sa D estic Return Receipt <br />