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SENDS • <br /> ti ■Comple di for additional services. erwwish t0 receive the <br /> 6 ■Compl items 3,4a,and 4b. following services(for an <br /> 0 ■Print your name and address on the reverse of this form can return this fee <br /> card to you. <br /> ■Attach this form to the front oft rant rf space ,ode Address 4 111 <br /> permit. + <br /> m ■ IV <br /> Wdte'Retum Receipt Reques a mb r. ❑ Restricted Delivery N <br /> cThe Return Receipt wilt show to the td was delivered and the date ,^ <br /> - delivered. j Consult postmaster®r feet ! <br /> � A 'c a Number/ . '• � •f/ a Zrrti <br /> li ATTN PAT ANDERSON � ¢o, ToP& C <br /> A6 CENTRAL VALLEY REGIONAL 4b.Service Type I <br /> II o WATER QUALITY CONTROL BOARD <br /> j Registered Certified <br />:i UNDERGROUND STORAGE TANK UNIT i O1 <br />'} Q Express Mail Insured t <br /> im <br /> w 3443 ROUTIER RD STE A #0 Retum Receipt for Merchandise ❑ COD <br /> c SACRAMENTO CA 95827-3098 Date I'v w <br /> 4 1997 ;, <br /> 5.Received By:(Print Name) 8.Addressee's A r ss(Only if requested c rI <br /> and fee is p ' ) z ' <br /> tet: <br /> g 6.Signatu e: (Add resseeorAgent) { t <br /> i. X <br /> PS Form 3811, December I94 Domestic Return Receipt <br />