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0 Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your aWfy <br />everse <br />so that w t cAttach thi� a ac]piece, <br />or <br />or on the front if space permits. <br />1. Article Addressed to: <br />CERTIFIED GR <br />5200 E SHIELA S - �[ <br />LOS ANGELES CAQ1it 2 20O2 <br />ENVIRONMENT HEAL <br />PERMIT/SERVICES <br />A. <br />X l ` ❑ Agent <br />❑ Addressee <br />B. Received by ( Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Q Certified Mail ❑ Express Mail <br />y ❑ Registered ❑ Return Receipt for .Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7002 2030 0003 8788 5186 <br />PS Form 3811, August 2001 Domestic Return Receipt I 102595-02-M-1540. <br />