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P SI3�P37��{rt�i,4®®765R 857 <br /> US Postal 18 6997 <br /> --Fbceipt for Certified Mail <br /> EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <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 /> LO <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> n Return Receipt Stowing to Whom, <br /> Q Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees $ <br /> Postmark or Date <br /> IP o <br /> LL <br /> m S a <br /> v <br /> y Mmpte <br /> m d trorrar� 'sh to receive the <br /> N items 3,and 4a&b. following services (for an extra N <br /> • �'nt your name and address on the reverse of this s at we can 2 <br /> N retu this card to you. feel' <br /> > � ` ' ` <br /> y 4 Attach this form to the front of the mailpie k i spa 1. r S dress y <br /> gtes not permit. <br /> Write"Return Receipt Requested"on the m Ip belo artic r. <br /> 2. ❑ Restricted Delivery .2- <br /> The Return Receipt will show to whom the a as delive and the date y <br /> o delivered. Consult postmaster for fee. <br /> d <br /> I Article Addressed to: Article Number a <br /> ---- <br /> EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL 4b. Service Type <br /> ❑ Registered ❑ Insured <br /> WATER QUALITY CONTROL BOARD Certified ❑ COD c <br /> 3443 ROUTIER RD STE A Express Mail ❑ Return Receipt for <br /> -SACRAMENTO CA 95827-3098 Mercha dise <br /> _- 7. Date of Delivery 0 <br /> O <br /> p�•5. Signature (Addressee) 8. Addresses Address (Only if requested Y <br /> H <br /> and fees aid) e <br /> cc 6. ' nature (Age t) ^ s <br /> 0 <br /> TPS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT <br />