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Z 128 785 319 <br /> US Postal Service <br /> Receipt for Certified Mail <br /> Nn lnsuranrp Cnvprmip Prr-,�Spr1 <br /> ATTN EXECUTIVE OFFICER <br /> CEN'T'RAL 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 /> Restri e <br /> LO <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> 00 <br /> 0 Postmark or Date <br /> E <br /> 0 <br /> LL <br /> kn <br /> SCEoNmDeEteRitems 1 and(2 ur euuuwrrar services. r tub u wisii to receive the <br /> w ■Complete items 3,4a,and 4b. following services(for an <br /> ■Print your name and address on the reverse of this form AM can return this extra fee): <br /> mcard to you. <br /> ■ <br /> y ,Attach this form to the front of the mailpieoe,or on the back if space does not 1. ❑ Addressee's <br /> m <br /> Addres <br /> ■Weit <br /> Rsrum mailpiece below the article number. 2. 11 Restricted Delivery <br /> ■TheRs3jRs� e� <br /> terry <br /> a artide was delivered and the date a <br /> delivered. Consult postmaster for fee. <br /> 0 3.Article Addressed to: 4a.Article Number <br /> 1u .5I9 <br /> E ATTN EXECUTIVE OFFICER 4b.Service Type <br /> v CENTRAL VALLEY REGIONAL ❑ Registered Certified <br /> rn <br /> WATER QUALITY CONTROL BORAD ❑ Express Mail ❑ Insured 5 <br /> 3443 ROUTIER RD STE A ❑ R Receipt for Merchandise ❑ COD <br /> ` <br /> SACRAMENTO CA 95827-3098 7 .Ditz of eiiveo <br /> ry,, ` 4 � � �� A <br /> 5.Rece e ( " t Name) 8.A dres ee's Address(Only if requested <br /> and fee is paid) _ <br /> ceipt <br />