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Postal <br /> CERTIFIED MAIL RECEIPT <br /> Provided) <br /> (Domestic Mail Only;No Insurance Coverage <br /> Ul <br /> 0 <br /> to <br /> r`- a Postage $ <br /> rl <br /> nj Certified Fee Postmark <br /> M Here <br /> Return Receipt Fee <br /> r` (Endorseonent Required) <br /> N <br /> O Restricted Delivery Fee <br /> O (Endorsement Required) <br /> I= Total Po <br /> O MARTY HARTZELL <br /> —oHecfpienti CENTRAL VALLEY REGIONAL <br /> ,M WATER QUALITY CONTROL BOARD <br /> C3 street,Apt UNDERGROUND STORAGE TANK UNIT <br /> 3443 ROUTIER RD STE A <br /> C3 "cky,Stere, SACRAMENTO CA 95827-3098 <br /> Iwo =16--w-41141 <br /> • • - <br /> dol <br /> • B. Date of Deli <br /> � - • P <br /> ■ Complease Print Clearly) <br /> ute items 1,2,and 3.Also Complete A. Received by <br /> item 4 if Restricted Delivery is desired. <br /> C. Sign ur t <br /> ■ Print your name and address otno youeverse Ad re <br /> so that w <br /> Ale r%1 tla�R'�f the mailpiece, X � [3 Yes <br /> ■ Attach th ii22�1 to permits. t '',i address different from item 1 No <br /> or on the front if space p D. is delivery <br /> if YES,enter delivery address below: <br /> 1. Article Addressed to: <br /> MARTY HARTZELL 3. Service TyPe <br /> CENTRAL VALLEY REGIONAL certified Mail ❑Express Mail <br /> WATER Q [3 Registered ❑Return Receipt for Merchandise <br /> QUALITY CONTROL BOARD �C.O.D. <br /> UNDERGROUND STORAGE TANK UNIT 3 insured Mail ❑Yes <br /> 3443 ROUTIER RD STE A 4. Restricted Delivery?(Extra Fee) <br /> SACRAMENTO CA 95827-3098 <br /> 2. Article Number(Copy from service label) <br /> 1025800-M-0952 <br /> 0 1999 Domes is Retur eceipt v <br /> PS')o Lj 3/ --I.uly l�� . <br />