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Z 128 782 662 <br /> us Postal.Ssivlc� w o <br /> Receipt for Certified Mair <br /> No Insurance Coverage Provided. <br /> ATTN EXECUTIVE OFFICER' <br /> - — <br /> CENTRAL VALLEY_REGIONAL <br /> W <br /> ATER- QUALITY CONTROL BORAD <br /> 3443ROUTIER RD ,_= STE A - i <br /> SACRAMENTO_. CA 95827-3098 <br /> 00,0 4' 09, <br /> Special Delivery Fee L <br /> Restricted Delivery Fee <br /> N <br /> m Retum Receipt Showing to . <br /> Who &Date red ` <br /> n Rehi <br /> Date as <br /> Ce s <br /> W <br /> P 'Date <br /> 0 <br /> N <br /> A <br /> .Do late hems t r a Monel se f also wish to receive the <br /> • 'a •Complete ke 3 following services(for an <br /> •Pnm your na d d on a so a extra fee): aN1TIV <br /> card to you <br /> •Attach this form to from W the mel ieu, r on back tt sperm does net t.0 Addressee's Address <br /> ppaBned. <br /> •Wnte Return <br /> tu rn Receipt <br /> will <br /> t w me article w below d,e d Arid nu 2�a•���e-rgp�,a—rY <br /> e The eyed. Receipt will show to whom the article was delivered entl WR r�io, <br /> delivered. Consul postmaster or fee. <br /> $� ATTN- EXECUTIVE OFFICER t4a.A clle�, mbar�, <br /> CENTRAL VALLEY REGIONAL �aori/a /l�UC r�D(�eC. E <br /> WATER QUALITY CONTROL BORAD '4b.Service Type <br /> 3443 ROUTIER RD STE A //////��^��^''' <br /> ' Registered ertified <br /> i. <br /> SACRAMENTO CA 95827-30980 Express Mail Insured <br /> Ret eceipt for Merchandise ❑ COD <br /> 7. Daer livery Q <br /> 1 OCT f 19. <br /> 5.Received 13yi (Print Name) 'S.Addre ee's Address(Only if requested Y <br /> and fee is paid) V <br /> 6. i Addressee A t <br /> 9 <br /> i �3 <br />