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COMPLETE .N ON . <br /> ■ Complete items 7,2,and 3.Also completeam 4 If A. Signature <br /> • Print Your mamma and address onis ntthe everse <br /> X I]Agent <br /> so that we can return the card to you. <br /> ■ Attach thisdard to the back of the.mailpiece, a. Received by( e Le <br /> on the front If space permits. livery <br /> 1. Article Addressed to: D. Is delivery address d n�7�,�,� �I <br /> If YES,enter deliveryre'gs7eldw�" (]Yes <br /> No <br /> PETALLACE ENVIRONMENTAL HEALTH <br /> 19431'N DEVRIES RD PERMIT/SERVICES <br /> LODI''CA 95242-9208 NR <br /> 'erype <br /> q..R ar Mail ❑Express Mail <br /> K :,aowaAnowc-usT aTN AV [7 Reglstared ❑Return Receipt for Merchandise <br /> • ❑Insured Mal ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Feel ❑Yes <br /> 2. Article Number <br /> (rransferfmm service label) 7 011 2970 0003 9133 0945 <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> 702595-02-M-1540 <br />