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gal "4 <br /> % <br /> d SEN also wish to receive the <br /> V ■Co ete i or 2 for additional services. f0110win ICeS(for <br /> y ■Complete items 3,4a,and 4b. <br /> d ■ � �� <br /> Print your name and address on the reverse of is m t we can return this extra fe ai <br /> card to you. 52 <br /> > ■Attach this form to the fro piec r o ck' s of . ❑ Addressee's Address Z <br /> d permit. d <br /> ■ <br /> Write'Return Receipt Requested'on t mailpi ce b ow a article number. 2. ❑ Restricted Delivery CO) <br /> tm, ■The Return Receipt will ihow to whom t i e was slivered and the date a <br /> c delivered. Consult postmaster for fee. •� <br /> °o �-- — 4a.Article Number <br /> } °7 ATTN MARK LIST l`/ -L - <br /> c <br /> o CENTRAL VALLEY REGIONAL 4b.Service Type <br /> E WATER QUALITY CONTROL BOARD <br /> 0 [:] Registered I ( Certified <br /> UNDERGROUND STORAGE TANK UNI` <br /> w 3443 ROUTIER RD STE A ❑ Express Mail [I Insured w <br /> ¢ i❑ Return Receipt for Merchandise ElCOD <br /> c SACRAMENTO CA 95827-3098 <br /> a <br /> 17.Date of Delivery <br /> 0 <br /> � <br /> z �. <br /> 5.rteceived By: (Print Name) 8.Addresse ' Address(Only if requested <br /> w and fee is <br /> 6.Signa <br /> o <br /> X <br /> 0 <br /> PS Form Ull, Decem er 1994 omestic Return Receipt ; <br /> C'• SEND o ■Comppilits nd/or 2 for additional services. I SO wish t0 reCelVe the <br /> w ■Comptems 3,4a,and 4b. following services(for an <br /> d ■Print your name and address on the reverse of this o th t w c n return this extra fEp)C�} <br /> card to you. �'dLdp d <br /> ■Attach this form tot fr o ece, if space d s n 1. ❑ A res S <br /> 4) permit. m <br /> 0 ■write•Rerurn Receipr i i 2. ❑ Restricted Delivery rn <br /> t ■The Return Receipt will show to m th art e s delivered and the at « <br /> jdelivered. Consult postmaster for fee. f <br /> 0 <br /> 0 4a.Article Numb <br /> M ATTN EXECUTIVE OFFICER <br /> d CENTRAL VALLEY REGIONAL ` c <br /> e £ 4b.Service Type .' <br /> 0 WATER QUALITY CONTROL BORAD <br /> n 3443 ROUTIER RD STE A 00 Registered Certified rn <br /> NSACRAMENTO CA 95827-3098 ❑ Express Mail Insured <br /> c ❑ Return Receipt for Merchandise ❑ COD <br /> a 7.Date of Delivery 0 <br /> z <br /> Q 5.Received By: (Print Name) 8.Addressee' Address(Only if requested ` <br /> and fee is i <br /> m <br /> r <br /> t- <br /> 3 6.Signa e: r sse nt <br /> � X ` <br /> M <br /> Ps rm 3811, er 4 Domestic Return Receipt <br />