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Z 128 784 417 <br /> US Postai Service <br /> Recent ffr Certified Mail <br /> ATTN 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 /> $pedal Delivery Fee <br /> Restricted Delivery Fee <br /> ,n <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Rewm Receipt Slrowmg to Wham, <br /> a Date,&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> 00 <br /> M Postmark or Date <br /> 0 <br /> LL <br /> rn <br /> N END R: nU c <br /> .0 ■complete items 1 or 2 tvr 1 wish to receive the <br /> +e ■Complete llama 3,4a,and 4b. 1 C'�y yt , following services(for an <br /> ■ <br /> Print your name and address an o so that we can return this extra fee): <br /> card to you. <br /> ■Attach fte form to the front of the mailpiece or on the back if space does not a <br /> a f. © Addressee's Address <br /> ■W Retum Receipt Requested'on tha mailpiece below the article nwnber. 2. ❑ Restricted Delivery <br /> ■The Return Receipt will show to wham the article was dews*fN"date <br /> o delivered.' Consult postmaster for fee. <br /> 3.Article AddressJW 16 20M 4`a.Arfi_cie Number <br /> 4b.Service Type ��// <br /> ATTN EXECUTIVE OFFICER p Registered ,PJ'C�rtifled <br /> CENTRAL VALLEY REGIONAL ❑ Express Mail ❑ Insured c <br /> WATER QUALITY CONTROL BOARD <br /> ❑ Return Receipt for Merchandise [3CCOD �m <br /> 3443 ROUTIER RD STE A 7.Date of Dell ery <br /> SACRAMENTO CA 95827-3098 / 'o <br /> l a, <br /> 5.Received B . Print Name) 8.Addressee's Address Only if requested c <br /> and fee is paid) <br /> 6.Sign7`%WVXkxA,-- <br /> as X <br /> a <br /> PS Fo 381 , December 994 102595-97-B-0179 Domestic Return Receipt <br />