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i <br /> i SENDS <br /> I? •ca-Pl a an r 2 for additional services. I also wish to receive the <br /> ■Comple items 3.4a,and 4b. <br /> m •Print your name and add son the reverse of th' htothat we can um is following services(for an <br /> } card to you. a extr ee <br /> •Attach this form to the on m i at <br /> permit. <br /> w •wdte'Rstum Receipt Requested•on t e mailp elow the article number. vrJ► <br /> ■The Return Receipt will show to who ihe,artide was delivered and the date 2 Restricted Delivery <br /> delivered. O c <br /> i o _ __ Consult postmaster for fee. a <br /> i <br /> m r ATTN PAT ANDERSON ' aa ArSclg Number <br /> m �c CENTRAL VALLEY REGIONAL E <br /> to WATER QUALITY CONTROL BOARD a4b.Service Type <br /> s r 110 <br /> UNDERGROUND STORAGE TANK UNIT 0 Registered k�'Certified <br /> M. 3443 ROUTIER RD STE A � Express Mail Insured c <br /> s <br /> SACRAMENTO CA 95827-3098 <br /> ❑ Return Receipt for Merchandise, 0 COD <br /> rLl 7.Date of Delivery <br /> I7.1 , � <br /> 5.Received By:(Print Name) - m <br /> N ''! $.Addressee's Add ess(C�nly if requested <br /> 1 and Pea is paid) <br /> 0 6.Signet :(Addressee or Agent) <br /> X <br /> a� <br /> PS Form 3811, December tssa Domestic Return Receipt <br /> z� <br />