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Kensington Assisted Living <br /> Redwood City <br /> VI. Inspector Information: <br /> The inspections documented in the attached inspection and maintenance checklists were conducted by the <br /> following inspector(s): <br /> Inspector Name and Title Inspector's Employer and Address <br /> VIL 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: E-mail: _ _ <br /> REV:07-22-14 VR <br /> Page 16 of 26 <br /> ATTYIAGR.2014.129/FSDW-Redwood City LLC(2808 ECR)_STMMA <br />