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V. SEDIMENT REMOVAL: <br />Total amount of accumulated sediment removed from the stormwater treatment measure(s) during the <br />reporting period: cubic yards. <br />The sediment was removed and disposed as follows: <br />VI. INSPECTOR INFORMATION: <br />The inspections documented in the attached inspection checklists were conducted by the following <br />inspector(s): <br />Inspection Date I Inspector Name and Title I Inspector's Employer and Address <br />VII. STATEMENT OF TREATMENT MEASURE CONDITION <br />Rased on the inspections documented in the attached checklists, is(a.Ye) the treatment measure(s) identified <br />in this report present, functional and being maintained as required by the Maintenance Plan? (Check yes or <br />no.) <br />YES NO <br />If "NO", describe problem, proposed solution. and schedule of correction:. <br />VIII. CERTIFICATION: <br />I hereby certify, under penalty of perjury, that the information presented in this report and attachments is <br />true and complete: <br />Signature of Property Owner or Other Responsible Party <br />Type or Print Name <br />Company Name <br />Address <br />Phone number: Email: <br />Date <br />12 <br />K:\2018\181401 2000_Adams_SanLeandro\DOGS\06-Design\L-Site_Maint Manual\O&M Agreement\O & M Agreement 20200731.doc <br />