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l <br /> AO <br /> •SENDER: I IN COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Q0jWrY Is desired. 0 Agent <br /> ■ Print your n t-W the reverse X 0 Addressee <br /> s0 that rd to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach thUloe back of the mailpiece, <br /> or on the If space permits. <br /> D. Is del' 0 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> p FEB 0 3 2012 M41R 0 6 2012 <br /> ENVIRONMENT%L HEALTH <br /> BOB BOUST 3. ice Type <br /> 2121 CALIFORNIA BLVD. #250 _,iff Certified Mail 0 Express Mail <br /> 0 Registered 0 Return Receipt for Merchandise <br /> WALNUT CREEK, CALIFORNIA 94596 <br /> ❑ Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 yes <br /> 2. Article Number <br /> (transfer from service label) _ 701 2781 0000 6637 3703 l <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />