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COMPLETE THIS SECTION ON DELIVEHY <br /> SENDER:COMPLETE THIS SECTION <br /> A. Signature El Agent <br />_ ■ Complete items 1,21 and 3.Also complete <br /> item 4 if Restricted Delivery is desired. X <br /> [Eli Addressee <br /> Postal . ' ■ Print your name and address on the reverse C. Date of Deiivery <br /> CERso that �j���I'j]]r ur t e c d to you. B. Received by(Printed Name) <br /> 'A 4 r <br /> (Domestic Mail • Ins ■ Attach t d t e f the mailpiece, <br /> or on the front if space permits. L!"i <br /> 0 D. Is delivery address differentT IV from3t�1? ❑�e�� <br /> r 1. Article Addressed to: if YES,enter delivery addrass tir.w. <br /> t `�� 4 <br /> rl 7Receipt <br /> ge $ <br /> Jg <br /> n31 <br /> r ee Postmark EXECUTIVE OFFICER <br /> Here .CENTRAL VALLEY REGIONAL e <br /> RetFee 3. Service Typ,00 jEndorsed) WATER QUALITY CONTROL BOARD Certified Mail ❑Express Mail <br /> Restrict d Derivery Fee 3443 ROUTIER RD STE A ❑ Registered ❑Return Receipt for Merchandise <br /> 0 (Endors ent Required) C]C.O.D. <br /> _ <br /> 0 _ — SACRAMENTO CA 95827-3098 ❑ insured Mail <br /> O Total Po EXECUTIVE OFFICER - 4. Restricted Delivery?(Extra Fee) .. ❑Yes <br /> L.n senr ra CENTRAL VALLEY REGIONAL <br /> ruBOARD 2. Article Number 7 0 01 2510 0008 0433 7528 <br /> WATER QUALITY CONTROL <br /> Sneer,Apransfer from service label) 102595-01-M-2509 <br /> pp goy 3443 ROUTIER RD STE A _ s c Return Receipt <br /> or <br /> A city-s-tate SACRAMENTO CA 95827-3098 Pg Fo rt 1 August 20 1 <br /> SECTIONCOMPLETE THIS ON DELIVERY <br /> • • <br /> . + • * ■ Complete items 1,2, and 3.Also complete A. Signature ❑Agent <br /> item 4 if Restricted Delivery is desired. X Addressee <br /> ., • ■ Print your name and address on the reverse C, Date of Delivery <br /> so that we eturn the card to you. B. Received by(Printed Name) <br /> _ s Attach thi r�toohlb the mailpiece, 1 r <br /> �1 or on the space p Yes <br /> 7 D. Is delivery ad rens differen <br /> If YES,enter delivery ad OW*. <br /> p <br /> $ 1. Article Addressed to: ` <br /> Postage d <br /> certified Fee <br /> r Postm: Q <br /> Here <br /> Retu Receipt Fee <br /> 6 (Endorse nt Required) <br /> 7 Restricted Delivery Fee MARTY liARTZELL 3. Se ice Type <br />* (EndorsementAegwred) _ CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD [ entified Mail ❑ Express Mail <br /> Total Postage MARTY HARTZELL UNDERGROUND STORAGE TANK UNIT /❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> Sent To CENTRAL VALLEY REGIONAL 3443 ROUTIER RD STE A , Extra Fee) ❑Yes <br /> ru WAFER QUALITY CONTROL BO, SACRAMENTO CA 95827-3098 4. Restricted Delivery. <br /> street,�tpt.N°' UNDERGROUND STORAGE TANI --- — <br />,.� or PO Box No. a_ <br /> o c+iy,"siara;ziP- 3443 ROUTIER RD STE A 2. Article Number 7001 5 Q Q r]a Q 3 7 9 <br /> t3 SACRAMENTO CA 95827-3098 (transfer from service label) <br /> r Do a is Return Receipt 102595.61-M-2509 <br /> P$F37,1 August2 Oi <br />