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PS Form 3800,April i ggs V •ComPlate items i and/or 2 for additional services. I also Wish to recejve the <br /> q •Complete items 3,4a,and 4b. following services(for 8n <br /> -oti g a a v 0 Z C N •Print your name and address on the reverse of this form so that we ken return ihle <br /> G r)81 'd (n 5 N D d card to you. extra fee): <br /> yt� 3 P. ,g It . P'C.1 o o y 0 >, Attach this forth to the front of the mailpiece,or on the back if space does not 8 <br /> 08 O C] c c (Dm : permit. 1. El Address <br /> RE <br /> o ko (y $ �+ .-5 — t y •Wnte'Retum Raceip Requested'on the mailpiece below the snide number. y <br /> r4• h7 n ,,,.kn Er $ •The Return Receipt will show to whom the snide was delivered and the date 2' ❑ Restricted Delivery y <br /> rF 0- <br /> Is lx1 t: �,2• 1p C delivered. <br /> ?� p�,p t:f' 3S) O F o Consult postmaster for fee. <br /> `� m m` '� m 3.Artlde Addressed to: <br /> a� to Q 3 , 4a Artlde Number o <br /> d m " w X68 s33 <br /> s � . � o� CD w E S.J.C. Public Health Servic c <br /> Service T <br /> de a m ;a g Environmental Health Div. >Pe m <br /> W a y 304 E. Weber Ave. 3rd Floor Registered �cerfited <br /> ^� .w N r~F mIM <br /> ¢ P-0. ❑ Express Mail ❑ Insured C <br /> BOX 388 , <br /> p r' NO � 0) a Stockton, Ca. 95201-0388 ❑ Retunt Receipt for Merchandise 13 COD o <br /> Cn , 7.Date of Delivery <br /> CR kn Z m � <br /> F 5.Received ey:(Print Name) 8.Addre ee's A dress yNrequesled Y <br /> R <br /> PUL, M f Fand fee is paid) o <br /> c 6.Signatur (Addressee or Agent) <br /> Ps Form 3811, Decembe gga Domestic Return Receipt <br />