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6.1.J. - Page 42 <br /> EXHIBIT C <br /> V. Surnrr�ary of Inspectians and Mair�tenance: <br /> Use the attached Treatment Area Inspection and Maintenance Checklist to conduct <br /> inspections manthly(o��as needed), identify needed maintenance, and record <br /> xnaintenance that is conducted. <br /> VL Sedi€t�ent Rerna�al: <br /> Total amount ofaccumulated sedixx�ent rerr�o�ed fram the storm water treatment <br /> measure(s) during t�e reporting period: cubic yards. <br /> How was sedimen� disposed? <br /> ❑ landfill <br /> ❑ other loeation or�-site as described in and allowed by the maintena�ce <br /> plan <br /> ❑ ather, explait�: <br /> V[i. Inspector[nformation: <br /> The inspections documented in the attached Inspection and Mainten;ance Checklists were <br /> condueted hy the following inspector(s): <br /> Inspector Name and Title Inspectar's Employer and Address <br /> VIII. Certification: <br /> I �e�•eby certify, under penalty of perjury, that the infor�nation presented in this report and <br /> attachments is true and complete: <br /> Signature of Property Owner ar Other Responsible Party Date <br /> � <br /> Type o�•�rint Name <br /> Company Name <br /> Address <br /> Phone number: Email: <br /> Page 2 O&1V1 Fnspection Report <br /> � <br />