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SAMPLE 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 inspection checklists document the inspection and maintenance conducted 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 />Property Information: <br />Property Address or APN: 077-0447-007-01, 077-0447-014-06, 077-0447-014-07; 077-0447-015-06 <br />Property Owner: __ 14th & Callan Street Owner, LLC <br />II. Contact Information: <br />Name of person to contact regarding this report: Justin Osler <br />Phone number of contact person: +1(847)372-7789 Email: Justinna,themartineroup.com <br />Address to which correspondence regarding this report should be directed: <br />1970 Broadway Suite 745 Oakland CA 94612 <br />III. 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 1 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 subject to the Maintenance Agreement: <br />Identifying <br />Type of Treatment Measure <br />Location of Treatment Measure on the <br />Number of <br />Property <br />Treatment <br />Measure <br />M-1 <br />Peak Diversion Storm Filter <br />Below grade vault in Southeast quadrant of <br />building. <br />M-2 <br />Two Cartridge Linear Precast Storm Filter <br />Below grade vault in Northeast quadrant of <br />building. <br />SR-1 <br />Bioretention Area <br />Western frontage planter, near Southwest <br />corner. <br />Centro -Callan G22-0005 <br />1198 E. 14th Street page 13 <br />