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ai SEN / I also wish to receive the <br /> � ■ �Gteifttq.m <br /> /or 2 for a i al es■C and 4b. following services(for an <br /> m ■Print your name and address on the reverse o s that we can return this extra fee):APR 2 p <br /> card to you. �i►AO <br /> d ■Attach this form to the front pi bac l�space does not 1. ❑ Addressee's ddressit <br /> � t' � 2. ❑ Restricted Delivery rn <br /> m ■wdte!Rstum Receipt Req to <br /> Y ■The Return Receipt will show o whom the i as livered and the date Consult postmaster for fee. d <br /> c delivered. V <br /> ------ - 4a.Article Number a, <br /> d <br /> 0 ATTN EXECUTIVE OFFICER c <br /> ECENTRAL VALLEY REGIONAL 4b.Service Type m <br /> u WATER QUALITY CONTROL BORAD ❑ CIDRegistered Certified °C <br /> 3443 ROUTIER RD STE A ❑ Express Mail ❑ Insured -E- <br /> SACRAMENTO <br /> cSACRAMENTO CA 95827-3098 ❑ Return Receipt for Merchandise ❑ COD <br /> o <br /> 7.Date of Delivery ia <br /> ,0 <br /> ` 5.Rece 13y: (Print Name) <br /> 8.Addressee' ddress(Only if requested <br /> and fee is a' ) r <br /> 6.S (Addresse/e r Age t) <br /> T `1 <br /> a PS Form 1811, December 101341 Domestic Return Receipt <br /> 3 <br /> ai SEN I also wish to receive the <br /> i v ■comp ete it s i d/or 2 for additional s rvices. followingseo n <br /> M ■Complete items 3,4a,and 4b. 8 ' <br /> 4) ■Print your name and address on the rave f th• f s can return this extra fee): <br /> card to you. <br /> ■Attach this form to the front ail ce, e p 1. ❑ Addressee's Address <br /> permit. <br /> ■Write'Return Receipt Requested'on the mailpi ce bel article number. 2. ❑ Restricted Delivery N <br /> r ■The Return Receipt will show to whom the rti a was delivered and the date Consult postmaster for fee. <br /> c delivered. <br /> ;44b. <br /> Article Numbercc <br /> d <br /> ATTN PAT ANDERSON <br /> CENTRAL VALLEY REG .L Service Type <br /> WATER QUALITY CONTR=. BOARD Certified cc <br /> ❑ Registered o, <br /> UNDERGROUND STORAGE'SINK UNIT ❑ Express Mail Insured c ' <br /> 3443 ROUTIER RD STE-I <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> SACRAMENTO CA 95827-3098 [77b—ate Date of Delivery � <br /> f i+010 >` <br /> �.. — 8.Addressee's Address(Only quested <br /> 5.Received By: Prnt Name) and fee is pai m <br /> W <br /> F- <br /> 6.Signa re rg�ee o ge t ��� <br /> C <br /> PS rm 3811, December 1664 omestic Return Receipt <br /> 1 <br />