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102210"'Avenue,Redwood C'rty,CA 94063-4304 <br /> VII. Inspector Information: <br /> The inspections documented in the attached Inspection and Maintenance Checklists were <br /> conducted by the following inspector(s): <br /> Ins or Name and Title Ins tor's Em lo er and Address <br /> VII1. Certiflcation: <br /> I hereby certify,under penalty of perjury,that the information presented in this report and <br /> attachments is true and complete: <br /> Signature of Pmperty Owner or Other Responsible Party Date <br /> Type or Print Name <br /> Company Name <br /> Address <br /> Phone number: Email: <br /> Page 3 O&M Inspection Report <br /> ATTY/AGR.2014.260/1022 10th Ave <br />