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424 caa <br /> ATT'N PAT ANDERSON <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 /> Postage $ <br /> CY) Certified Fee <br /> •�-? Special Delivery Fee <br /> Restricted Delivery Fee <br /> m <br /> V @ Return Receipt Showing to <br /> 0 = Whom&Date Delivered <br /> a Rehm Receipt Sho mloWhen, <br /> Q Date,&Addressee's Address <br /> O <br /> 0 TOTAL Postage&Fees ,$ <br /> E Pgeof ate <br /> 0- <br /> 06 <br /> a SEN _ <br /> V •Conipl e a r 2 for additionalservices. <br /> b •C ate items 3,4a,and 4b. also wish to receive the <br /> •Print your name and address on reverse of 's form following services(for an <br /> card to you. c return this <br /> > •Attach this form to the front of t mail ck Fr��f9g[J ��j <br /> m pemdL ° A4A fir( <br /> Write'getum Receipt Request the s ddress <br /> ace be w a Is number. Z <br /> •The Return Receipt will show to whom the antic delivered and the date 2. Restricted Delivery r j <br /> C <br /> delivered. <br /> Consult postmaster for fee. n <br /> ATTN PAT ANDERSON 4 Art lie N7um/b/er d <br /> —°c CENTRAL VALLEY REGIONAL /(/•-7' �.�,� <br /> WATER QUALITY CONTROL BOARD 14D.service Type <br /> It UNDERGROUND STORAGE TANK UNIT 10 Registered ( Certified <br /> a 3443 ROUTIER RD STE A ❑ Express Mail p Insured <br /> OSACRAMENTO CA 95827-3098 0 Return Receipt torMerchaeOD <br /> Q <br /> z 7.Dateiof pelivery� <br /> _ <br /> 5. Received By: (Pont Name) - i. <br /> 8.Addres e's Address(Only it requted Y <br /> and fee ' paid) m <br /> c6.Sig 1 ddressee ent) �. <br /> PS Form 11, Decembe 1994 <br /> Domestic Return Receipt <br />