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y,TTNPAT' , <br /> =F,p•' r <br /> "CSNTRAI+'VALX`EY REGIONAL <br /> WATER .QUALITY..CONTROL BOARTT F <br /> U1�IDERGROUND�STORAGE Tp,13K' <br /> 3443 ,ROUTIER.RD _ STE A. <br /> CA 95827-3698 <br /> SACRA14V14TO �. <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Oafiveiy Fee <br /> 0) Return Receipt Showirtg to <br /> r V4hom&)ale Delivered <br /> Rewm Recespt St iq l Vim, <br /> Q pate,&,addressee's Address <br /> Q TOTAL Postage&Fees <br /> 00 <br /> c+) Postmark or Date <br /> l� t� <br /> jLL <br /> D _ . ... � <br /> DE f also wish to receive the <br /> ■C mpiet e 1 a r 2 far additional services. folio Ifl STV& <br /> m ■Complete items 3,4a,and 4b. XtT� <br /> d ■print your name and addres on the reverse of this form so at we can return '{ tl <br /> card to you. b f. ❑ Addressee's Address <br /> d ■Attach this form to the fro t he e <br /> permit. <br /> ■Write'Retum Receipt Ru .0 email a bel the article nu er. 2. ❑ Restricted Delivery N <br /> ■The Retum Receipt will show to who arti law delivered and the date Consult postmaster for fee. <br /> C delivered. p <br /> G - - - 4a.Article Number as <br /> ATTN 'PAT ANDERSON : C <br /> CENTRAL VALLEY REGIONAL 0 <br /> a 4b.Service Type 2 <br /> E <br /> WATER QUALITY CONTROL BOARD ❑ Registered Certified cc <br /> N: UNDERGROUND STORAGE TANK UNIT ❑ Express Mail ❑ Insured 5 <br /> LU. 3443 ROUTIER RD STE A m <br /> ❑ Return Receipt for Merchandise °❑ COD <br /> C SACRAMENTO CA 95827-3098 o <br /> 7.D7L e' a iYery 1 <br /> a �` I' - T <br /> Z . <br /> cc <br /> 5�Receive {Print Name} 8.Addressee's dress(Only if requested m <br /> W and fee i P i C <br /> g r d essee or ge <br /> 0 <br /> PS orm 3811, December t9 4 Domestic Return Receipt <br />