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. . <br /> CERTIFIED MAIL RECEIPT <br /> (Domestic Mail Only, No Insurance Coverage Provided) <br /> M <br /> a <br /> M <br /> S Postage $ <br /> lLn <br /> Q <br /> eU certified Fee <br /> Postmark <br /> cI3Return Receipt Fee Here <br /> Rl (Entlo <br /> C3 Ream, <br /> M (Endou ATTN EXECUTIVE OFFICER <br /> O TOW CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> e•e pn <br /> 3443 ROUTIER RD STE A <br /> o srear, SACRAMENTO CA 95827-3098 <br /> O <br /> t` CtlY§i <br /> ■ Complete items 1,2, and 3.Also complete A. Received b <br /> item 4 if Restricted Delivery is desired. Y(Please Print Clearly) B. Date of Dtyiycry <br /> ■ Print your name and address on the reverse �� <br /> so that n,/r►eturn the card to you. C. Sig ture <br /> ■ Attach ryrcAh { of the mailpieca, <br /> or on the front II s[�(aac ' �{n X ❑Agent <br /> rts. ❑Addressee <br /> 1. Article Addressed to: V D. Is delivery address different from item 1? ❑ Yes <br /> If YES,enter delivery address below: ❑No <br /> ATTN EXECUTIVE OFFICER <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> 3443 ROUTIER RD ST <br /> A 3. Service Type <br /> SACRAMENTO CACertified Mail ❑ Express Mail <br /> 95827-3098 ❑ Registered ❑ 9Adm Receipt for Merchandise <br /> ❑ Insured Mail ❑CO.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number(Copy from service label) <br /> -7F>b nr nl� no�Ft R95(f 1 <br /> PS Form'.3811,July 1999 o eahc Return Rec pt <br /> 7 y 7 y Y-o �/ . � � 102595-00-M-0952 <br /> ,.._.1 <br />