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' COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete u r <br /> Item 4 if Restricted Delivery is desired. X <br /> ■ Print your me and address on the reverse Addressee <br /> so that we -n return the card to you„ -- � <br /> ■ Attach this prd to the back of the maNlece g Recei y{Punt=Name� <br /> -C, pate of Delivery <br /> or on the froyt if space permi sf 0> A <br /> 1. Article a o: D. Is delivery address different, rn item 1 T I s <br /> . Y L @I'v �A. below: \ <br /> ATIN EXECUTIVE OFFICER <br /> CEN?RAL VALLEY REGIONAL i! AU G 2 L G f O'yJ Qy <br /> WATER QUALITY CONTROL BOARD fy 11t+ <br /> UNDERGROUND STORAGE TANK UNIT <br /> 11020 SUN CENTER DR#200 Pi ti V iCI�ress Mail <br /> RANCHO CORDOIrA CA 95670 6171 t+p Registered 0 Return Receipt for Merehandlse <br /> - - - - _ ❑Insured Mail ❑C.O.D. <br /> To-PZ)t3 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number ---- ---- - <br /> (Transfer from service label) 7009 3410- 0001, 8274 7957 <br /> I'PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />