HomeMy WebLinkAboutSWG Onsite Survey - 10/29/1996 I
First-Class Mail
UNITED STATES POSTAL SERVICE Postage&Fees Paid
USPS
ThC01' A 14A 984 2:3 : :31 Permit No.G-10 I
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• Print your name,address, and ZIP Code in this box •
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Martin County Dept. of Health Servi s „- �L
Office of Water Quality .n
410 N. 4th - P. 0. Box 1666 'AG
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Shelton, WA 98584-5001 1
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SENDER:
v ■Complete items 1 and/or 2 for additional services. I also wish to receive the
in ■Complete items 3,4a,and 41b. following services(for an
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■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ai
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •2
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■Write-peturn Receipt Requested'on the mailpiece bek'.w the article number. 2. ❑ Restricted Delivery fn
.L ■The Return Receipt will show to whom the article was delivered P�d the date
delivered. Consult postmaster for fee. a
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v 3. rticle Addressed to: 4a.Arti Number a
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B 4b.Service Type
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a ❑ Registered Certified °C
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w ❑ Express Mail El Insured E y
¢ w ❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
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p 5. Received By: (Print Name) 8.Addressee's Address(Only if requested �
T�/ and lee is paid) r
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6.Signatu e: (A ressee or Age )
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PS Form 81 , December 994 Domestic Return Receipt