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1 Z 224 364 457 <br /> ATTN-r FXECDTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BORAD <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Retum flaceipt Shoving to <br /> r Whom&Date Defivered <br /> Date,&AftessWs M&m <br /> p TOTAL Postage&fees <br /> in postmark or Date <br /> LL <br /> E <br /> m x3E 7 1 also wish to receive the <br /> v ■ late ems or z for additional rviCos. following services(for an <br /> N ■ mplete items 3,4a,and 4b. <br /> 4)=■Print your name and address on t rse fo a return this qK1ra fee <br /> card you. ck' 1. �gpr& ss■Attach this form to the front of th it � <br /> dpermit. m <br /> y ■Write'Retum Receipt Requested'on the mail ' ce b low th icle number. 2. ❑ Restricted Delivery N <br /> r ■The Return Receipt will show to whom the article delivered and the date Consult postmaster for fee. <br /> c delivered. <br /> o — - 4a.Article Number � 4) <br /> ATTN EXECUTIVE OFFICER 2 <br /> � E c <br /> `CENTRAL VALLEY REGIONAL <br /> 4b.Service Type m <br /> WATER QUALITY CONTROL BORAD Registered �-lnsuredl <br /> Certifiedcc <br /> t 3443 ROUTIER RD STE A 0 Express Mail Irl <br /> t SACRAMENTO CA 95827-3098 <br /> ❑ Return Receipt for Merchandise [ICOD <br /> w <br /> t 7.Datb of Delivery � <br /> ¢ 8.Addressee's A ess`(Only if requested = <br /> 5.Received fay: tint Name) and fee is pai ) <br /> W <br /> a ' <br /> e 6.Si a r . d ass a Ag t) <br /> l <br /> Domestic Return Receipt <br /> PS Form 3811, December 1 4 <br />