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M D GYV1111 m <br /> � W.L�U� LLJ�� <br /> -0 <br /> 11 !!, • <br /> ru OFFICIAL , <br /> i; I C I A L U tom, ru i. E l I CI A �.... •�p <br /> r` Postage $ Postage $ <br /> rqa <br /> C36ertified Fee Certified®Fee <br /> C3Postmark C3Postmark <br /> ReturnReciept Fee' Here "❑ Return Reciept Fee 1;' i <br /> O (Endorsement Required) (Endorsement Required) Here <br /> I <br /> ❑ Rest I❑ - Restricted Delivery Fee <br /> -M (Endo M (Endorsement Required) <br /> ❑ JAMES L L.BARTON Z-3 <br /> rLiJrLj <br /> TOt REGIONAL CENTYRAL VALLEY RTotal Postage; <br /> WATER QUALITY CONTROL BOARD ru EXECUTIVE OFFICER <br /> C3 sent '. i C3 sent To CENTRAL VALLEY REGIONAL <br /> ❑ UNDERGROUND STORAGE TANK UNIT C3 WATER QUALITY CONTROL BOARD-------- <br /> N 11020 SUN CENTER DR #200 5 r` 3`iieer npi No, 11020 SUN CENTER DR #200 <br /> or PG or PO Box No. <br /> RANCHO CO CA 95670-6114 ! ----------- <br /> ,57&7-. r ;ziP RANCHO CORDOVA 95670-6114 <br /> 5 , <br /> EM <br /> e 4 a'rt <br /> n Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> o Print your name and address on the reverse ❑Addressee <br /> so that weQ�� tur the Card to you. B. Received by(Printed Name) C. Date of Delivery <br /> o Attach thisbOrd�t pFie&afrthe mailpiece, <br /> or on the front ifs ace fit' <br /> �'nT rS l <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: ❑ No <br /> EXECUTIVE OFFICER <br /> CENTRAL VALLEY 11EGIONA-L3. Ice Type <br /> WATER QUALITY CONTROL BOARD <br /> Certified Mail ❑Express Mail <br /> 11020 SUN CENTER DR #200 /❑`Registered ❑Return Receipt for Merchandise <br /> RANCHO CORDOVA 95670-6114 ❑ Insured Mail ❑C.O.D. <br /> — — - 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service 7002 2 0 3 0-0-0'09;--1,l 2 4 67 3 0 <br /> 30 - <br /> �PS Form 3811,February 2004 Domestic Return Receipt M-1e40� <br /> f _ � s <br /> 52 <br /> • . • .:', ; <br /> n Complete items 1,2,and'3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> to Print your name and address on the reverse ❑Addressee <br /> F so that j�yqMp�r u t d to you. B. Received by(Printed Name) C. Date of Delivery <br /> o Attach thl�WaFd th t (e trick of the mailpiece, <br /> or on the front if space permits. <br /> `• <br /> 1. Article Addressed to: IUNIT IV D. Is delivery address different from item 1? ❑Yes <br /> f YES,enter delivery address below: ❑ No <br /> JAMES L L BARTON' <br /> CENTYRAL• Y_ALLEY REGIONAL <br /> SVATER QUALITY CONTROL BOARD <br /> UNDERGROUND STORAGE TANK UNIT` 3iceType <br /> 11020 SUN CENTER DR #200 ertified Mail ❑Express Mail <br /> RANCHO CORDO VA CA !►56'10-6114 ❑ Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> -• - 14. Restricted Delivery?(Extra Fee) ❑Yes <br /> { 2. Article Number <br /> 11 (Transfer from ser 7002 2030 001 7624 _6723 _ <br /> PS Form 3811,February 2004 Domestic Return Receipt //�� s 2-M-1540 <br />