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• <br /> Exhibit D <br /> Annual Report <br /> Treatment Measure Operation and Maintenance Inspection Report to: <br /> City Engineer <br /> City of San Leandro <br /> 823 East 14th Street <br /> San Leandro, CA 94577 <br /> This report and attached inspection checklists document the inspection and <br /> maintenance conducted for the identified stormwater treatment measure(s) subject to <br /> the Maintenance Agreement between City and the property owner during annual <br /> reporting period indicated below. <br /> 1. Property Information: <br /> Property Address or APN: 400 Polar Way,San Leandro, CA 94577 <br /> Property Owner:Victory Unlimited Construction LLC <br /> 2. Contact Information: <br /> Name of person to contact regarding this Project: R.J. Burton <br /> Phone Number of Contact Person: (317)491-5434 Email: rburton(a)victoryuc.com <br /> Address to which correspondence regarding this report should be directed: <br /> 6831 E i2nd Street, Indianapolis, IN 46226 <br /> 3. Reporting Period: <br /> This report, with the attached completed inspection checklists, documents the <br /> inspections and maintenance of the identified treatment measures during the time <br /> period from January 1 to December 31, <br /> 4. Treatment Measure Information: <br /> The following stormwater treatment measures (identified treatment measures) are <br /> located on the property identified above and are subject to the Maintenance Agreement: <br /> Identifying Number of Type of Treatment Measure Location of Treatment <br /> Treatment Measure Measure on the Property <br /> CDS Unit No#1 CDS Unit—Deflective separation Southwest corner of <br /> technology screens,separates property at property line. <br /> and traps debris,sediment and <br /> oil and grease from stormwater <br /> runoff. <br /> Bio-Retention Planters Bio-Retention Planters allow Planters 1-5 per <br /> No #1, 2,3,4&5 infiltration and filtering of Stormwater Treatment <br /> sediment from stormwater Plan Sheet by Kier& <br /> runoff. Wright Civil Engineers <br />