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Postal <br /> ■ <br /> CERTIFIED <br /> (DomesticOnly; <br /> r <br /> a � <br /> r <br /> TU. _ <br /> Postage $ , <br /> Ln <br /> Ln cer5ified Fee Postmark <br /> I Here <br /> Return Receipt Fee <br /> (Endorsement Required) <br /> ru <br /> 13 Restricted Delivery Fee <br /> E:1 (Endorsement Required), <br /> z. <br /> M Total Postage&Fees ATTN _EXECUTIVE OFFICER <br /> E:l a <br /> Reefplent's Name(PIC a CENTRAL VALLEY REGIONAL <br /> Street,Apt.Na:or PO E <br /> WATER QUALITY.•CONTROL BOARD <br /> --`._-3443 ROUTIER..RD . .STE <br /> City State,zlp+a , SACRAMENTO CA 95827-3098 - <br /> A. Received by(Please Print Clearly) B"Date of De'very II <br /> ■ complete items 1,2,and 3.Also complete IHI <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse C- Sig ture �^ ❑Agent <br /> so that we can return the card to you. {� .nn 11%0 ❑Addressee <br /> ■ Attach thi y� h he mailpiece, X x!"'911"""'�`�`�"--"'��� <br /> or on the TPS}%c�P� I f Al T INT D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> ATTN EXECUTIVE OFFICER <br /> CENTRAL. VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD' 3. Service Type <br /> 3443 ROUTIER RD STE A certified Mail ❑ Express Mail <br /> SACRAMENTO CA 95827-3098 ❑ Registered ❑ Return Receipt for Merchandisil <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, Article Number(copy from service label) 0 esRet rn Re — <br /> 102595-00•M-09 <br /> PS Form 3811,Jul 19 9 <br /> -- ' m <br />