Laserfiche WebLink
Postal <br /> ■ <br /> CERTIFIED <br /> Do Only; <br /> r`- <br /> 0 <br /> E:3 <br /> r- f` Postage $ <br /> ru Certified Fee Postmark <br /> rYT Here <br /> RetA Receipt Fee <br /> F­ (Endorsement Regwred) <br /> r"Li <br /> C3 Restricted Delivery Fee <br /> 1� (Endorsement Required) <br /> V3 Total Pc MARTY HARTZELL <br /> C3 <br /> -p FRecipiOnt CENTRAL VALLEY REGIONAL <br /> t_3WATER QUALI'T'Y CONTROL BOARD __-___ <br /> UNDERGROUND STORAGE TANK UNIp3443 ROUTIER RD STE A <br /> CSe <br /> r- SACRAMENTO CA 95827-309 <br /> see Reverse[or lmlrw�fion"� <br /> a , <br /> ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse C. Si ture <br /> so that tpr n r to the and to you. ❑Agent <br /> ■ Attach th a eezwf the mailpiece, g <br /> or on the front if space permits. ❑Addressee <br /> D. Is delivery address different from item 17 11 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> MARTY HARTZELL <br /> CENTRAL VALLEY REGIONAL 3. brvice Type <br /> WATER QUALITY CONTROL BOARDCertified Mail El Express Mail <br /> UNDERGROUND STOP-AGE TANK UNIT ❑ Registered ❑ Return Receipt for Merchandise <br /> 3443 ROUTIER RD STE A ❑ Insured Mail ❑C.O.D. <br /> SACRAMENTO CA 95827-3098 4. Restricted Delivery?(Extra Feel ❑Yes <br /> 2. Article Number(Copy from service label) <br /> D ep <br /> PS Form 381-1,July 1996 Domestic Return Receipt 102595-00-M-0952 <br />