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�r- <br /> Z 224 364 45 <br /> US.Pice <br /> � � v�rMol <br /> ATTN MARK LIST <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> UNDERGROUND STORAGE TANK UNIT <br /> 3443 ROUTIER RD 9STE A <br /> A. <br /> SACRAMENTO CA 098 <br /> Certified Fee <br /> gpecial Delivery Fee <br /> peslticted Delivery Fee <br /> LO Receipt Showing to <br /> r Whom&Date Delivered <br /> 'a RetumReceiplSt�+�9to <br /> ¢ D01,&Addremee's Address <br /> C; TDTAL Postage 6 Fees <br /> CIO <br /> P imark Or pate <br /> o <br /> U- <br /> jSENDservices, <br /> I also wish to receive the <br /> m following services(for an <br /> •p ■Compl t item 1 an 2 for additi al services. <br /> 'm 7-Compi a items 3,4a,and 4b. f g we an return tl a fee): <br /> d ■Print your name and address on the yverse ww A as ddress '0 <br /> a card to you. c A� 4) <br /> w ■Attach this form to the front of the <br /> d� permit. w th rticle number. 2. ❑ Restricted Delivery Q <br /> ■Write"Return Receipt Requested'on the mailpiece Consult postmaster for fee. <br /> r ■The Return Receipt will show to whom the article was delivered and the date 0 <br /> d <br /> delivere . <br /> e - -p_ t4a.Art 10 .Number � <br /> ATTN MARK LIST z <br /> CENTRAL VALLEY REGIONAL 4b.Service Type d <br /> WATER QUALITY CONTROL BOARD Registered <br /> UNDERGROUND STORAGE Certified <br /> TANK UNIT ❑ Express Mail ❑ Insured <br /> 3443 ROUTIER RD STE A <br /> +.a�CRAMENTO CA 95827-3098 ❑ Return Receipt for Merchandise ❑ COD <br /> ,•� 7.Date of pelivery ��y c <br /> Y <br /> S.Addressee's ress(Only if requested m <br /> " 5.Received By' Print Name) and fee is pa' ) <br /> W <br /> 6.Si re re s or Ag <br /> a Domestic Return Receipt <br /> .9 <br /> PS Fo 3811, December 94 <br />