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El Camino Real <br /> VII. Inspector Information: <br /> The inspections documented in the attached Inspection and Maintenance Checklists were <br /> conducted by the following inspector(s): <br /> Inspector Name and Title Inspector's Employer and Address <br /> VIII. Certification: <br /> I hereby certify, under penalty of perjury, that the information presented in this report and <br /> attachments is true and complete: <br /> 4/12/16 <br /> Signature of Property Owner or Other Responsible Party Date <br /> Christopher Hsiung <br /> Type or Print Name <br /> C&H Holdings LLC <br /> Company Name <br /> • <br /> 5 Estates Dr. Millbrae, CA 94030 <br /> Address <br /> Phone number: 650-637- 1288 Email: chrisbk888@a gmail.com <br /> • <br /> Page 3 O&M Inspection Report <br /> ATTY/AGR.2016.255/C&H Holding Company, LLC - STMMA <br />