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1390 Woodside Road, Redwood City, CA <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 />Signature of Property Owner or Other Responsible Party <br />Type or Print Name <br />Company Name <br />Address <br />Phone number: Email: <br />Date <br />Page 3 O&M Inspection Report <br />