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2103 E. 14th St., San Leandro, CA <br />How was sediment disposed? <br />^ landfill <br />^ other location on-site as described in and allowed by the maintenance plan <br />^ other, explain <br />VII. Inspector Information: <br />The inspectors documented in the attached Inspection and Maintenance Checklists were <br />conducted by the following inspector(s): <br />Inspector Name and Title Inspector's Employer and Address <br />VIII. Certification: <br />I hereby certify, under penalty of perjury, that the information presented in this report and <br />attachments is true and complete: <br />Signature of Property Owner or Other Responsible Party <br />Rex Schmitz <br />Type or Print Name <br />Eden Housing Management <br />Company Name <br />~~~/~ <br />Date <br />22645 Grand Street Ha and CA 94541 <br />Address <br />Phone number: 510-582-1460 Email: rschmitz(cr~,edenhousing.o~r <br />Exhibit D - O&M Inspection Annual Report -Page 3 <br />