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Z 128 785 51:8 <br /> f 1S Pnstaf Renrire <br /> ATTN MARTY HARTZELL <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> UNDERGROUND STORAGE TANK UNIT <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 9582.7-3098 <br /> rweayc <br /> 4 <br /> Certified Fee <br /> Special Delive <br /> cn Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O <br /> �O TOTAL Postage&Fees <br /> Ch Postmark or Date <br /> E <br /> Q <br /> LL <br /> SENDS a <br /> R: C� <br /> Complete hems, 't__ <br /> •Complete items S,4a,and 4b.additional <br /> ■Print your name and address on the reverse of this form I also wish to receive the <br /> > �ch thisuform to the front of the mailpieoe,or on the back if p does return we can this following services(for an <br /> permit. extra fee): <br /> f ■Write'Return Re ueeted•on the 1, ❑ Addressee's Address <br /> C 'The Return RIleggkktt t mailPiece below the article number. <br /> C dehv®red• p' the article was delivered and the date 2. [3 Restricted Delivery A <br /> Consult postmaster for fee. X <br /> a AWN MARTY HARTZELL -Article Article Number !p <br /> 0 CENTRAL VALLEY REGIONAL 'j ¢ <br /> 4b.Service Type <br /> WATER QUALITY CONTROL BOARD 13 Registered 3 <br /> UNDERGROUND STORAGE TANK UNIT 0 Express mail /,Kinsured C* <br /> CGrtified 1 <br /> scat <br /> 3443 ROUTIER RD STE A O RetumR p O .E <br /> Receipt for Merchandise <br /> SACRAMENTO CA 95827-3098 7•Data of Delivery [] cop <br /> 5.Received By:(Print Name) ' <br /> e 8.Addressee's Address(Only if requested <br /> 6.Signature: dd and fee is paid) <br /> X a <br /> PS Form 3811, Depen er 19 4 ' <br /> o�sss-s -a-ons DOr11PStic Retl{[f1�}�@C@Ipf <br /> j"N�jiev <br />