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Stormwater Treatment 1604 San Leandro Boulevard 042122
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Stormwater Treatment 1604 San Leandro Boulevard 042122
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9/12/2025 3:05:05 PM
Creation date
9/4/2025 12:20:40 PM
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CM City Clerk-City Council
Document Date (6)
4/21/2022
Recorded Document Type
Stormwater Treatment
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PERM
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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): (-1 <br />Inspection Date I Apectir Name and Title I Inspector's Emp ye and Address <br />VII. <br />Based on the <br />in this report <br />no.) <br />YES NO <br />If "NO", describe problem, proposed solution and schedul orrection: <br />heck yes or <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 Date <br />Type or Print Name <br />Company Name <br />Address <br />Phone number: Email:. <br />Attach Inspection Checklists <br />9 <br />R\2700 - 2799t2719-0001Engineedngt5WMPkO&M13rd SubmittaftO & M Agreement for treat meas 04252019_parrott.doe <br />
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