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(D S E ." �1 I also wish to receive the follow <br /> N ❑Complete items <br /> 2 r a ditiyervcAr �/V_ _ in se Sf��J r B <br /> H Complete item 3,4 a 4 /�}"/(% 9 !J ) <br /> y ❑PrnN your name t u isai <br /> card to you 1. ❑Addressee's Address <br /> m ❑Attach this form to the front of the m the track if spac <br /> p"rm;t- 2. ❑ Restricted Delivery di rw <br /> p Write'Ratum Receipt Requested'on the mailpiece below the art�" r\ N <br /> Cl The Return Rec&pt wshow to whom the article was delivered td to 4 <br /> p dpl.vered. � <br /> T ATTN MARK LIST 4a.Article Number cc ru <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD 4b.Service Type d <br /> UNDERGROUND STORAGE TANK UNIT ❑Registered rtified c <br /> 3443 ROUTIER RD STE A ❑ Express Mail Insured ru <br /> SACRAMENTO CA 95827-3098 ❑RetumReceiptlorMercttandise ❑COD o U- <br /> 7.Date of Delivery � <br /> }� 2 D <br /> . ..r.It —1 dre3see's Address (Orr! t requestedarrd c <br /> UJI¢I J V fee is paid) t <br /> 0 6.Si nature(Addressee or Agent) <br /> rn <br /> PS Form 3811,December 1994 102595-ss-B-azzs D estic Return Receipt <br />