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Stormwater Treatment Measure Inspections, Operation and Maintenance, <br />Standard Annual Report Form for Use in Reporting <br />To the [(==The City of Pleasanton==]], California <br />When completed this report form and attached completed Inspection and Maintenance Checklists <br />document the inspections and maintenance conducted for the identified stormwater treatment <br />measure(s) subject to the Maintenance Agreement between the City and the property owner <br />during the annual reporting period indicated below. <br />I. Property Information: <br />Property Address or APN: 360t OLD SANTA RITA ROAD <br />PropertyOwner: ~ HENDRICK AUTOMOTIVE GROUP <br />II. Contact Information: <br />Name of person to contact regarding this report: <br />Phone number of contact person: <br />Email: <br />Address to which correspondence regarding this report should be directed: <br />III. Reporting Period: <br />This report, with the attached completed inspection checklists, documents the inspections and <br />maintenance of the identified treatment measures during the time period from <br />to <br />IV. Stormwater Treatment Measure Information: <br />The following stonnwater treatment measures (identified treatment measures) are located on the <br />property identified abo~~e and are subject to the Maintenance Agreement: <br />Identifying <br />Number of <br />Treatment <br />Measure Type of Treatment Measure Location of Treatment <br />Measure on the Property If site is greater than one acre, include <br />GPS coordinates of Treatment <br />Measures. <br /> <br /> <br /> <br /> <br /> <br />C larcunxms and Sn~ings icrtyo Ucskiop Stao•1ud RcponGnal dix' Page 1 Standard Annual Report Form <br />