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■ 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 <br />`s`o that we can return the cans to you <br />■ o on th�fptarmiotstheIrdt <br />A. Signature <br />❑ Agent <br />X ❑ Addressee <br />F1 Received tAgPfiatp4lWWR W , . --4 C. Date of Delivery <br />D. N JAIW-ry' afire s d Yererrt`iromTe­m 1? ❑ Yes <br />KEVIN TAYLOR <br />3 ede�ivepra�i�fibelow: ❑ No <br />MA LLU <br />CAL RECYCLE <br />j1 bb <br />ATTN: PERMITTING AND LEA SUPPORT DIVI`ON I <br />WASTE COMPLIANCE & MITIGATION PROGRAM MSr VIRUN�Jlri�T HEALTH <br />TERMIT/SERVICES <br />1001 I STREET <br />SACRAMENTO CA 95812t <br />:e Type <br />Certmed Mail 13Express Mail <br />I <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured 'Mail ❑ C.O.D. <br />JIX 14. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from servke 7009 2250 0001 8334 1713 <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595 -M -*1540 <br />