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P 590 42244524 <br /> ATTN EXiUrFICER <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BORAD <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> rn Return Receipt showing to <br /> Whom&Date Delivered <br /> a Retum Receipt showing to whom, <br /> Q Date,&Addressee's Address <br /> O <br /> � <br /> TOTAL Postage&Fees $ <br /> ` Postmark or Date <br /> LE <br /> o• <br /> d - — <br /> omplete items 1 a, r additional services. <br /> ■Complete items 3,4a,and 4b. I also wish to receive the <br /> ■Print your name and address on t reverse of this form so ext In services(flora] <br /> card to you. return this eXtr 1166 h7�71I/ <br /> ■attach this form to the front of t it n th ac c d s not d <br /> permit. ❑ Addressee's Address <br /> y awrite'Retum Receipt Request n the rhail ce belo a <br /> •The Return Receipt wilt show to whom aijEcl as de ver d the date ❑ Restricted Delivery N <br /> c delivered. �, <br /> o Consult postmaster for fee. a <br /> dEXECUTIVE OFFI�ER 444rdcle Number <br /> E CENTRAL VALLEY REGIONAL A 10 <br /> ��q m <br /> u ,WATER QUALITY CONTROL BORAD 4b.Seryice Type <br /> 3443 ROUTIER RD STE A ❑ Registered <br /> Certified <br /> LU SACRAMENTO CA 95827-3098 ❑ Express Mail <br /> ¢ Insured <br /> G ❑ Return Receipt for Merchandise ❑ COD H <br /> 0 <br /> a 7. Dat of Delivery o <br /> z <br /> cc <br /> 5.Received By: int Name) <br /> W <br /> 8.Addressee's ress(Onl if r uested� � Y <br /> ¢ and fee is p id) <br /> 6. r <br /> 0 <br /> Sig r ssee o e ) f- <br /> a� <br /> 1 PS Form 3 11, December 19 Do estic Return Receipt <br />