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.v <br /> SECTIONCC)MPI-ETE THIS . <br /> SENDER: COMPLETE THIS SECTION <br /> A. i ature [3 Agent <br /> Q ■ Complete items 1,2 and 3. Iso comp e ❑Addressee <br /> u) 1 itern 4 ift e! desired. <br /> o ■ print your rfl�rre a eps on the reverse c. D to of Delivery <br /> so that we can return the card to you. {1eceiv a <br /> ca ■ Attach this card to the back oft-1 ail�i e� D <br /> ce, Yes <br /> ror on the front if space permits, L Y , is delivery address different from <br /> ren ,+ if YEs,enteWtr ldr� below. ❑No <br /> t.. Article Addressed to: C3 ! 06 <br /> to t kENVIRONMENT HEALTH <br /> PERMIT/SERV t EXECUTIVE OFFICER g_ Se lceType <br /> ru CENTRAL VALLEY REGIONAL Certifiied Mail ❑Express Mail <br /> rta i WATER QUALITY CONTROL;BOA i� ❑Return Receipt for Merchandise <br /> ❑ egistered <br /> M 11020 SUN CENTER 17R #200 " ❑insured Mail ❑C.O.D. <br /> RANCHO 95670-6114 Extra Fee) ❑Yes <br /> C <br /> o4. Restricted Delivery? <br /> 01 <br /> 2. Article Number 7003 `8260 0003 318 6. 13 5 13 2 <br /> (Transfer from SE 102595-02-M-1540 t <br /> .i. Domestic Return Receipt ea <br /> oc Fnrm 3811,February 2004 _—��- — <br />