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SECTIONCOMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete, A. Received by{Please Print Clearly) S. Date of Delivery <br /> LO item 4 if Restricted Delivery is desired. <br /> —0 ■ Print your name�ar�,d address on the reverse Signat ❑Agent <br /> so that n. t n rd to you. <br /> � Addressee <br /> ■ Attach h s card to the back of the Maii liece, i 1, ❑Yes <br /> LlZ. or on the front if space permits. �t�+ Iv D. Is d ❑ No <br /> 1. Article Addressed to: If Y , <br /> E E B 2 6 2004 <br /> d JAMES L L BARTON <br /> © ndF CENTRAL VALLEY REGIONAL <br /> Rastr NATER QUALITY CONTROL BOARD ?3 Se is <br /> M (Endor• Certified Mail ❑ Express Mail <br /> UNDERGROUND STORAGE TANK UNIT i ❑ egistered ❑ Return Receipt for Merchandise <br /> Toni 11020 SUN CENTER DR#200 ❑ Insured it [IC.O.D. <br /> RANCHO CORDOVA CA 95670-6114 4 Restricted elivery?(Extra Fee) [1 Yes <br /> p ent T, —- - - <br /> r` oaf 2. Article Number{. 7002 2030 0001 7625 24l�5 <br /> w PO I <br /> City u� 102595-00-M-0952 <br /> PS Form 3811,July 1999 J� <br /> Do a ti n R ceip <br />