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vs. ' • <br /> D- <br /> CERTIFIED MAIL. RECEIPT <br /> Ln Only; <br /> .r <br /> Ln <br /> rt.l <br /> Ln Postage $ <br /> M Certi iedr'ee <br /> ED Postmark <br /> C3 ReturnReciept Fee Here <br /> C3 (Endorsem.:*Zequired) <br /> O Restricted Delivery'Fee <br /> r--j (Endorsement Required) <br /> rR - <br /> m Total Post EXECUTIVE OFFICER <br /> M CENTRAL VALLEY REGIONAL <br /> O enc o <br /> WATER QUALITY CONTROL BOARD <br /> o --- <br /> t~ sireei,'AV i 11020 SUN CENTER DR #200 <br /> See Reverse for <br /> or PO Box N <br /> ..._..... RANCHO CORDOVA 95670-611 <br /> clry,scare,� <br /> PQ Form :r <br /> !/ <br /> SECTIONCOMPLETE THIS <br /> ON DELIVERY <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete A. Sign rune <br /> PAP <br /> item 4 if Restricted Delivery is desired. Xr Addressee <br /> ■ Print your e d on the reverse <br /> so that W t= <br /> to you. B. Received by(Printed Name) t of Delivery <br /> ■ Attach this card to the back of the mailpiece, -7 _ <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addre,-'ed to: If YES,enter delivery address below: ❑ No <br /> EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD 3)oEergetisterecl <br /> Type <br /> 11020 SUN CENTER DR #200 �ed Mail ❑ Express Mail <br /> RANCHO CORDOVA 95670-6114 ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number y�� j110 ppp3 5254 4569 { <br /> (Transfer from service label) <br /> + 102595-02-M-1540 <br /> PS Form 3811, February 2004 Domestic Return Receipt Oy J 3� � <br />