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. DELIVERY <br /> SENDER: COMPLETE,&SECTION COMPLETE THIS SE,;TIC <br /> ■ Complete items 1,2,a,,,.3.Also complete D7t-/ <br /> 13 Agent <br /> item 4 If Restricted Delivery Is desired. X <br /> ■ Print your name and address on�I vers [3 Addresses <br /> so that we can return the card t�n�C ve by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back oft G <br /> or on the front If space permits. ,� <br /> NOV1 �'1�Y��"addm different from Item 1? 13 Yes <br /> 1. Article Addressed to: enter delivery address below: D No <br /> CENTRAL VALLEY REGIONANXPfLgMEN HEALTH <br /> QUALITY CONTROL BOARD SIT?`RMIT/SE ICES <br /> ASSESSMENT&CLEANUP PROGRAM 3. Service Type <br /> 11020 SUN CENTER DR STE 200 XCertifled Mail ❑Express Mall <br /> RANCHO CORDOVA CA 95670-6289 RTN:GB O Registered 0 Return Receipt for Merchandise <br /> ❑Insured Mail OC.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number 7011 2970 0003 9133 1492 <br /> (Trensfer hom service I&W - <br /> PS Form 3811,February 2004 Domestic Return Receipt 102695-02-M-1 540 <br />