Laserfiche WebLink
Z . 224_364 481 <br /> ATTN PAT ANDERSON <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD <br /> UNDERGROUND STORAGE TANK UNIT <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> APP 19 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> to <br /> rn Return Receipt Showing to <br /> whom 8 Date Delivered <br /> Q Retum Receipt 90arig to Whom, <br /> Q Date,6 Addressee's Address <br /> 0 TOTAL Postage S Fees Is <br /> M Ppspn r to <br /> oE L/1 <br /> m SEN0- wish to receive the <br /> •v_ mcoml to . w ing services(for an <br /> to ■Complete items 3,4a,and 4b. his <br /> d ■Print your name and address on the evers i or extra fee): <br /> card to you. s 1. ❑ A difle�3s( <br /> ■Attach this form to the front of the mai <br /> permit. <br /> ■Write'Return Receipt Requested'on the mailpiece bolo thea number. 2. Restricted Delivery -« <br /> Y ■The Return Receipt will show to whom the article was suit postmaster for fee. <br /> d livered and the date o <br /> o delivered. Con <br /> v <br /> 0 4a. rticle Number d <br /> 9 ATTN PAT ANDERSON '�/I (� �.{/� (1Q� <br /> d CENTRAL VALLEY REGIONAL <br /> CL 4b.Service Type m <br /> E WATER QUALITY CONTROL BOARD Certified <br /> V ❑ Registered o, <br /> UNDERGROUND STORAGE TANK UNIT El Express Mail Insured S <br /> IW <br /> 3443 ROUTIER RD STE A <br /> � ❑ Return Receipt for Merchandise El COD f <br /> cc SACRAMENTO CA 95827-3098 <br /> 7.Date of Delivery <br /> Z Y <br /> cc 5.Received By:(Print Name) 8.Addressee's Ad ss(Only if requested o <br /> and fee is paid) <br /> W <br /> g 6.Signature: (Addressee or Agent) <br /> °a. X <br /> 2 PS Form 3811, December 1994 me c Return Receipt <br />