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14 la44A/04 <br /> SEND I also wish to receive the <br /> ■Complet rte 1 a or 2 for additional services. following services(for an <br /> ■Complete items 3,4and 4b. <br /> ■Print yourrnF&%= <br /> the is extra fee):backpaperrnft. 2.❑ Restricted Delivery <br /> Write'RetuecW Request "on the mallpfece below the e <br /> ■The Return Receipt Will show to whom the article was delivered da Consult postmaster for fee. <br /> delivered. <br /> ATTN MARK LIST ;7 <br /> CENTRAL VALLEY REGIONAL Ix <br /> �`o�.C/ \ � c <br /> f CWATER QUALITY CONTROL BOARD 4b.Service Type <br /> UNDERGROUND STORAGE TANK UN-TT ❑ Registered �ertified T� i <br /> 3443 ROUTIER RD STE A ❑ Express Mail ❑ Insured c <br /> SACRAMENTO CA 95827-3098 ❑ Retum Receipt for Merchandise ❑ COD <br /> 7.Date of 134tet <br /> .GG t� g <br /> S.Received By:(Print Name) 8.Addressee's Addr s(Only if requested m <br /> and fee is paid) <br /> 6.Signatur (Addressee or Agent) <br /> X s <br /> PS Form 11,December 1 102595.96-a-om Domestic Return Receipt <br /> r <br /> m SEND I also wish to receive the <br /> 32 ■Compl a items 1 and/or ad ' on ervices llowing services(for an <br /> re ■Complete items 3 4a,a 1 <br /> s I ■Print your name a e on rev i t extra fee): a� <br /> card to you. p <br /> ■Attach this form to the front of the mallpiece or on th ck if space does not 1.ypfdr fess Z <br /> permit. 2.❑ Restncted a <br /> ■ me'Return Receipt Requested'on the mailplece below the c e. very <br /> ■The Return Receipt will show to whom the article was delivere an a <br /> delivered. Consult postmaster for fee. <br /> ��M <br /> bar <br /> ATTN EXECUTIVE OFFICER 96q, 6iF/ <br /> E <br /> CENTRAL VALLEY REGIONAL 4b.Service TypeCL <br /> i <br /> WATER QUALITY CONTROL BORAD ❑ Registered �ertified p� <br /> 3443 ROUTIER RD STE A ❑ Express Mail LJ Insured <br /> c <br /> SACRAMENTO CA 95827-3098 ❑ Return Receipt for Merchandise ❑ COD 0 , <br /> 7.Date of 1! � ,o <br /> �l 'o <br /> 5.Hecelvea l:sy: (rnnr rvdrrrel 8.Addressee'sddress(Only if requested Y <br /> and fee is p-1, <br /> t <br /> cc <br /> 6.Signature:(Addressee or Agent) ►- <br /> L Y <br /> S 0 A <br /> a PS Form 1811,December 19 102595-96-e-0229 omestic Return Receipt <br />