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Z 128 782 646 <br /> US Postal smvice <br /> eiut 9r_Certified Mail <br /> ATTN MARK LIST <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTBOARD <br /> UNDERGROUND STE A <br /> NK UNIT <br /> 3443 ROUTIER RD <br /> SACRAMENTO CA 95827-3098 <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> Q Retum Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> ch 00 Postmark or Date <br /> E <br /> 0 <br /> LL <br /> U) <br /> a <br /> r I also wish to receive the <br /> SEN itional sery es. folloHQQ�Q rT <br /> ■Complete items 1 and/or 2 f b. % � n return this extra�f�E++ m <br /> w ■Complete ite�e3_ <br /> , i <br /> y ■Print your na ddr on Ce not 1.❑ Addressee's Address <br /> card to you. 41 <br /> m ■Attach this foo the front of the 1piec on a back sp 2 Restricted Delivery r/1 <br /> ypermit. to ®r' <br /> ■Write"Return Receipt Requested"on the mail ' r th date Consult postmaster for fee. a <br /> ■The Return Receipt will show to whom the m <br /> _ delivered. 4a.Article Numbeerr/7 <br /> ATTN LIST zl�J (�`i(r/ <br /> CENTRAL VALLEY REGIONAL 4b.Service Type <br /> WATER QUALITY CONTROL BOARD ❑ Registered 1EA Certified <br /> UNDERGROUND STORAGE TANK UNIT C3 Express Mail ❑ Insured c <br /> 3443 ROUTIER RD STE A <br /> etum Receipt for Merchandise C1 COD <br /> SACRAMENTO CA 95827-3098 ❑ R <br /> 7.Date of Delivery <br /> 0 <br /> 0 <br /> a. <br /> Print Narne) 8.Addressee's Ad ss (Only if requested a <br /> 5.Received By: ( and fee is paid) <br /> .Si natur : (Addressee Agent) <br /> X 102595-9e-B-m29 Domestic Return Receipt <br /> 2 PS Form 3811,December 1994 <br />