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SEND <br /> a ■Complete items 1 andfor 2 for additional services. t < t also wish to receive the <br /> w ■Complete Items 3,4a,and 4b. �V following services(for an, <br /> w ■Print your name and address on th ev form t t we ca tum this a ra f <br /> card to you. AIMS I <br /> p •Attach this form to the front o1 the o Aelf51117�M S , I <br /> permit. <br /> CD ■Wrile'Rotum Receipr Requested' ilp ow the article number. 2. ❑ Restricted Delivery rn <br /> ` ■The Return Receipt will show to who the article was delivered and the date <br /> delivered. Consult postmaster for tee. <br /> s. <br /> _----• - -. ... _ �_ 4a.Article Number m <br /> w ATTN EXECUTIVE OFFICER , �` ��_c <br /> Ln <br /> 4ru C CENTRAL VALLEY REGIONAL . 4b.SerTice m <br /> "= y WATER QUALITY CONTROL BORAD ❑ Regitte'r ed Certified <br /> C3 3443 ROUT]ER RD STE A y� ❑ Express Mail Insured -S <br /> SACRAMENTO CA 95827-3098 g <br /> � i❑ Retur�t4,RZe eiprfariMendlandise ❑ GOD ' <br /> i ti n 7.Date OT <br /> elivery <br /> CL 3 <br /> M 5.Received By: (Pfint Name) - n 8.Addressee' A dress(Only if requested <br /> w and fee is a' J <br /> 6.Signatur (Addressee or Agent) <br /> �y X l <br /> PS Form 11,December 1994 Domestic Return Receipt <br /> 4 <br /> r <br />