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P SIU 4tLf <br /> s_y <br /> ATTN PAT ANDERSON <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> UNDERGROUND STORAGE TANK UNIT <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> 4Posta $ <br /> Fee <br /> Delivery Fee <br /> ed Delivery FeeusReceipt Showing to Date DeliveredQeceipt Stowing to Whom, <br /> Qddressee's Address Postage&Fees $ <br /> 00 <br /> Postmark or Date <br /> 016—Wo <br /> LL <br /> ' �¢ <br /> U) + <br /> a- <br /> 110, <br /> $E let.mems and/or 2 for additional services. I also wl to receive the <br /> m ■complete items 3,4a,and following services for an <br /> d .ti Print your name and addr s re f this fbr o th a can return ttu e4 Le ' <br /> P card to you. . o■ V IVw v <br /> ■Attach this form to the fro c t if 1. ❑ Addressee's Address E <br /> 9) permit. a) <br /> ■Wnte'Retum Receipt Requested'on mailpi ce b he article number. 2. El Restricted Delivery N <br /> L, '■The Return Receipt will show to whom th rti a was delivered and the date a <br /> ° delivered. Consult postmaster for fee. U <br /> ° T4A Article Number _ d <br /> a; ATTN PAT ANDERSON cc <br /> a CENTRAL VALLEY REGIONAL .26 <br /> E WATER QUALITY CONTROL BOARD 4b.Service Type <br /> Cn UNDERGROUND STORAGE TANK UNIT ❑ Registered [�( Certified <br /> ❑ Express Mail ❑ Insured <br /> W 3443 ROUTIER RD STE A ❑ Return Receipt for Merchandise ❑ COD <br /> c SACRAMENTO CA 95827-3098 w <br /> 7. Date f q�livery`2 <br /> Q _ C ° <br /> z >' <br /> _5.Receive y: (Print Name) <br /> 8.Addressee's Ad r ss(Only if requested <br /> E— and fee is paid) <br /> � Ig 6. n ue rse or ge t <br /> X <br /> H P orm U11, December 1 4 Dofnestic Return Receipt <br />