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Z 224 364 435 <br /> .. - <br /> ATTN MARK LIST <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 /> AUG 03 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> RaMcted Delivery Fee <br /> Retum Receipt Showing to <br /> Whom&Date Delivered <br /> Return Recap)showing to Whom, <br /> g Dab,&Addressees Address <br /> oTOTAL Postage&Fees <br /> ark <br /> p �c/4 O`] �� / <br /> is <br /> CL ' <br /> ;; SEND <br /> a ■Comp) ite s a or 2 for additional serviced. I also Wish to receive the <br /> ■Complete items 3,41a,and 4b. following services(for an <br /> V ■Prim"your name and address on the reverse is to card to you. can ret t xtra tee <br /> ■ low <br /> Attach this form to the front of m , r s f{jdjk�, <br /> permit. �• ❑ s SAJM <br /> ■Write'Retum Receipt RaQuested'on he ilpietm to article number. 2. ❑ Restricted Delivery n <br /> r <br /> r ■The Return Receipt will show to whom the a w delivered and the date <br /> c delivered. Consult postmaster for fee. <br /> u <br /> ATTN MARK LIST 4a. rti e/�u barrm <br /> d CENTRAL VALLEY REGIONAL �c-�a 4 O�(Qy �� M <br /> CL c <br /> o WATER QUALITY CONTROL BOARD 4b.Service Type <br /> UNDERGROUND STORAGE TANK UNIT [�( <br /> ❑ Registered Certified w <br /> 3443 ROUTIER RD STE A ❑ Express Mail ❑ Insured 5 <br /> SACRAMENTO CA 95827-3098 ❑ Return Receipt for Merchandise p COD <br /> a T• f=r, - <br /> 5.Received Sy:(Print Name) 8.Addressee's Address(Only if requested Y <br /> and fee is p15 <br /> me <br /> 0 6.Signature: (Addressee or Agent) <br /> a, <br /> PS Form 3811, December 1994 Domestic Return Receipt ` <br />