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ANNUAL REPORT <br />Treatment Measure Operation and Maintenance <br />Inspection Report to the <br />Public Works Director <br />City of San Leandro <br />14200 Chapman Road <br />San Leandro, CA 94578 <br />This report and 'attached -':ns-pection che-cldist3'duC'ument the''inspectmn and maintenannoe cont.�i'Yx'cted for the <br />identified stormwater treatment measure(s) subject to the Maintenance Agreement between the City and the <br />property owner during the annual reporting period indicated below. <br />I. PROPERTY INFORMATION: <br />Property Address or APN: <br />Property Owner: <br />II. CONTACT INFORMATION: <br />Name of person to contact regarding this <br />Phone number of contact person: Email: <br />Address to which this report should be di ected: <br />Ill. REPORTING PERIOD: <br />This report, with the attached completed inspection checklists, documents the inspections and maintenance <br />of the identified treatment measures during the time period from January l to December 31 , . <br />IV. TREATMENT MEASURE INFORMATION: <br />The following stormwater treatment measures (identified treatment measures) are located on the property <br />identified above and are suVJect to the Maintenance 'Agreement <br />identifying <br />Number of <br />Treatment <br />Measure <br />Type.of Treatment Measure- <br />.Location. -of, Tr..eatment,Measur,e on. the <br />Property <br />11 <br />KA2018\181401_2000_Adams_SanLeandro\DOCS\06-Design\L-Site Maint Manual\O&M Agreement\O & M Agreement_20200731.doc <br />