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US Postal Service <br /> Receipt for Certified dMail <br /> No Insurance Cave�ag y (t <br /> Do not use forfntematiortal Mail See reverse B <br /> Sent to <br /> Street Numbar�3 . <br /> RL,tlre�D <br /> ,State,8 z1P Code <br /> P <br /> �Office s8- - <br /> postage <br /> Certified Fee <br /> Special Delivery Fee x; <br /> Restricted Delivery Fee <br /> . (m Return Receipt Showing to . <br /> Y Whom&Date Delivered x <br /> faetum Receipt S+> m <br /> Date,&Addressee's Addrins <br /> O TOTAL Postage&Fees " $' <br /> cD a <br /> �"� Postmark or Date <br /> o iq . <br /> !Z <br /> . e <br /> Received by{Please Pani Cfearly) B. Dateyf�livelb <br /> A. <br /> ■ Complete items 1,2,and 3.Also complete �� <br /> ' item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse C- Signature ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attack this card to the back of the mailpiece, X , ❑Yes <br /> or on t%front if space permits. D. is delivery address different from item 1. <br /> 1. Article Addressed to: UNIT N If YES,enter delivery address below: <br /> ❑ No <br /> W <br /> ATT13. IARTY TiiARTZELL ;' ;{ <br /> CENTRAL VALLEY REGIONAL " r <br /> WATER QUALITY C019TROL BOARD <br /> UNIT 3, Service Type <br /> UNDERGROUND STORAGE TAY yy J<Certified Mail ❑ Express Mail <br /> 3443 ROUTIER RD STE A 7 ❑ Registered [3 Return Receipt for Merchandise <br /> SACRAM MTO CA 95827-3098 ❑ Insured Mail ❑ C-0-0- <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number(Copy from service label) 02 & O-d lily[-� <br /> Domestic Return Receipt <br /> 102595-99-M-1789 <br /> PS Form 3811,July 1999 <br />