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Z L24 364 477 <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 /> - R <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> ul <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Retim Recut Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O <br /> 0 TOTAL Postage&Fees <br /> Go <br /> E Postmark or Date <br /> C <br /> l <br /> t (v• !� / <br /> co <br /> SE pJ"I <br /> o •■ plete'ems d/or 2 for additional serve as <br /> a SO w t0 receive the <br /> w ■ <br /> SE;? <br /> items 3,4a,and 4b. following services(for an <br /> d ■Print your name and address on the reverse of this fo o at an return this extra <br /> card to you. //,, <br /> ■Attach this form to the front o A r o the pa oes not <br /> permit. Rddrlsle) ress � <br /> y ■Write•Retum Receipt Requests t 1 ' 2. ❑ Restricted Delivery to <br /> r ■The Return Receipt will show to whom th rticle we d ' er and the date _ <br /> C delivered. Consult postmaster for fee. <br /> 0 <br /> d ATTN PAT ANDERSON a. rti le Number d <br /> 2�1• �(®�/• y <br /> m CENTRAL VALLEY REGIONAL � c <br /> c WATER QUALITY CONTROL BOARD 4b.Service Type .� <br /> m <br /> V UNDERGROUND STORAGE TANK UNIT !❑ Registered Lyr Certified M <br /> Cal 1` 0)w 103443 ROUTIER RD STE A ❑ Express Mail .CI Insured -E- <br /> U) <br /> ❑ Return Receipt for Merchandise ❑ COD ` <br /> p SACRAMENTO CA 95827-3098 p <br /> 7.Date of Delivery 0 <br /> T <br /> 5.Received By:(Print Name) 8.Addressee's Address my if requested <br /> w and fee is ppid) t <br /> 3 6.Signature:(Addressee or Agent) II ~ <br /> � X <br /> M <br /> PS Form 3811, December 1994 DornestW Domes ' Return Receipt <br />