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V: Sediment Removal <br />Total amount of accumulated sediment removed from the stomtwater treatment measure(s) during the <br />reporting period: a cubic yards. <br />The sediment was removed and disposed as follows: <br />eash/debris (not sedinsent/soil) containerized into sites solids waste maintenance dmm for disposal <br />VI. Inspector Information: <br />The inspections documented in the attached inspection checklists were conducted by the following <br />inspector(s): <br />Inspection Dale <br />Inspector Name and Title <br />Inspector's Employer and Address <br />12/26/2024 <br />and <br />2/28/2025 <br />Paul Freeman / Field Technician <br />Ivan Garcia Zamora / Field Technician <br />Belshire Environmental Services, Inc. <br />25971 Towne Centre Drive, <br />Foothill Ranch, CA 92610 <br />VII. Statement of Treatment Measure Condition <br />Based on the inspections documented in the attached checklists, is(are) the treatment measure(s) identified <br />in this report present, functional and being maintained as required by the Maintenance Plant (Check yes or <br />no.) <br />X YES _NO <br />If "NO", describe problem, proposed solution and schedule of correction: <br />Vill. Certification: <br />I hereby certify, under penalty ofperjury, that the information presented in this report and attachments is <br />true and complete: <br />yZ4-2i <br />Signature of Property Owner or Other Responsible Party Date <br />Larry Moothart <br />Type or Print Name <br />Belshire Environmental Services, Inc. <br />Company Name <br />25971 Towne Centre Drive, Foothill Ranch, CA 92610 <br />Address <br />Phone number: 949-460-5200 Email: Larry@belshire.com <br />Attach Inspection Checklists <br />12 <br />