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ENIM <br /> ■ p am or for tional c so wish to receive the <br /> M rA <br /> mromplets items 3,4a,and 4b. following services(for an <br /> N m milDrint your name and address on the reverse of th' orm a can return this 190 <br /> Fr <br /> ` a At acc?this form to the front the ,o n 8 '. '_ Add a sees ddress <br /> e � r <br /> 00 o m ■Wnte'Retum Receipt Request mai pie a article number. 2. ❑ Restricted Delivery y <br /> f7 M rn ■The Return Receipt will show to whom t !de a Bred and the date <br /> delivered_ Consult postmaster for fee. <br /> 'i 4 Article Number m <br /> it 0 a W N m d ATTN EXECUTIVE OFFICER I <br /> �''pW4 rC y oz 's° tf1 i� - CENTRAL VALLEY REGIONAL Zzl/'��'C/T� [ �/ <br /> a U 0 A ® Q E WATER QUALITY CONTROL BORAD ype 9WIn(sred <br /> rA S+ H a ❑ Re istered rtified <br /> M W N rn a} ' ' s 3443 ROUTIER RD 5TE A g rl W z 21 . � SACRAMENTO CA 95827-3098 ❑ Express Mail m <br /> fU �, :� tHH1 �0Er m �g o �, � ?❑ Return Receipt for Merchandise ❑ COD L <br /> 0.0 xE <br /> � 7.Do D live a O N ry <br /> ,e J <br /> 12 e c iro o <br /> z <br /> 5.Received By: (Print Name) 8.Addresee's Add (Only f requested w <br /> and fee is aid <br /> U r�i <br /> to S661 Ipd'd'008E mod Sd w paidH <br /> 6.Signature: (Addressee or Agent) <br /> N <br /> PS Form 1 811, December 1994 - - - D�ffie'stic Return Receipt <br /> r. d SEN I also wish to receive the <br /> ■Co pl it or r d Tonal c <br /> w ;■co t items a,and 4b. following services(�fowrwan <br /> L = y' ■ <br /> Prig or name and address on the reverse of this fo e can return this extra#], <br /> card to you <br /> ��4466 X111 d <br /> ■Attach this form to the fr, nt o o�,:o f space does 7 1. ❑•Addressee's Address <br /> 114 permit. 1 , <br /> m ■Write'Return Receipt Req st In e rt' r. 2. ❑ Restricted Delivery N <br /> ■The Return Receipt will show o who a e was elivered and the date a <br /> delivered. Consult postmaster for fee. .d <br /> fa.Article Number ami <br /> 00 CD ATTN PAT ANDERSON W <br /> Q O o °-' CENTRAL VALLEY REGIONAL <br /> 96 g 4•M M E 4b.Service Type <br /> .WATER QUALITY CONTROL BOARD � +u <br /> 17- c°� El Registered Certified <br /> U Z 47 t• UNDERGROUND STORAGE TANK UNIT eA <br /> S H O O W N ❑ Express Mail Insured 5 <br /> N H p4 H W1.,69 w 3443 ROUTIER RD STE A <br /> O'W z N rn g cc 6 SACRAMENTO CA t95827-30§8 <br /> s❑ Return Receipt for Merchandise E)/COD e <br /> W x 0 <br /> Ac a m a 7.Date of Deliv % c <br /> � H W'S+ CJ � u_ L, r_- . 'a m <br /> cc <br /> nj0 a O 9 to 6 g, o + 5.Received By: (Print Name) 8.Addressee s dress(Only if requested c <br /> m o � and fee is t <br /> r� a or:o a e a 6.Sign tura: (Addressee or Agent) <br /> LL' a c�i iD <br /> D ¢ <br /> H � U 9661,ludd'gD08C 111,10J Sd '� PS Form 3811, December 199a omestic Return Receipt <br />