BLD-2021-0177 C&D PCB 3ȏŘŖŗşǯȱȱŖśȦŗȦŝŗş
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10408 Sterling Boulevard 375-24-005
Janaka and Sherry Ranatunga (650) 743-5497 janaka_is@hotmail.com
10408 Sterling Boulevard Cupertino, CA 95014
GILBERT FERANDEZ GILBERT FERNANDEZ 954667 B
Michelle Miner shelminer@aol.com
408-396-0984
DEMO EXISTING SINGLE STORY HOUSE WITH CARPORT AND BUILD A NEW TWO STORY HOUSE WITH ATTACHED GARAGE AND ATTACHED ADU
1
Michelle Miner Digitally signed by Michelle Miner
Date: 2020.10.29 14:06:18 -07'00'
18488 Prospect Road #6
18488 Prospect Road #6 Saragoga, CA 95070
gilbert_fernandezjr@me.com 408-500-8511
1821 S BASCOM AVE CAMPBELL CA 95008
954667
1746 Total SF to be demoed
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Demolition permits are required for all sites where a demolition of any building, structure, and/or pool
is proposed. An application for a Demolition Permit may be submitted concurrently with a Building
Permit. A Building Permit will not be issued until the Demolition Permit is approved. Plan check fees
are due at the time of the application submittal.
All items listed below are to be complete prior to the issuance of a Demolition Permit:
Complete a Demolition Permit Application (D). (A Demo Permit application can be submitted
concurrently with the Building Permit submittal.)
One (1) scaled digital copy of a 'HPROLWLRQSite Plan on a USB thumb drive. (Refer to the
Demolition SitePlan Requirements).
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WUHHVZLOOEHUHPRYHGRUUHWDLQHGIllustrate the tree protectionmeasures that will remain in place
during construction. Per City of Cupertino Municipal code14.18.200 and 14.18.210.
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Provide a Termination/Disconnect letter from the Utility Suppliers confirming that the gas and
electrical services have been terminated at the main/street.
Contact PG&E IMMEDIATELY @ 408-725-3325 to schedule a disconnect.
Provide a letter of Certification from Bay Area Air Quality Management District, (BAAQMD -
www.baaqmd.gov @ 415-749-4762) providing an ASB Number.
The demolition of a pool will require a Cupertino Sewer District permit to drain the pool.Contact
Frank Quach at fquach@markthomas.com
Provide a letter of clearance of all vermin from a licensed pest control contractor.
Complete a Construction and Demolition Recycling Diversion form.
http://www.cupertino.org/home/showdocument?id=4078
Permittee shall install tree protection measuresLIDSSOLFDEOHconsistent with City StandardDetail
4(attached hereto), and contact the Public Works 'HSDUWPHQWDW 408-777-3,for inspection
andapproval of the facilities. OBTAIN SIGN-OFF OF TREE PROTECTIONMEASURES PRIOR
TOTHE DEMOLITION PERMIT ,668$1&(
LIVE FIRE TRAINING DRILLS
Municipal fire departments frequently use residential structures scheduled for demolition to provide
realistic, yet controlled scenarios for training exercises. If you are interested in providing a Permitted
Structure for a fire training exercise, please contact:
Santa Clara County Fire Training Division @ 408-378-4010
PROCEDURE CHECKLIST FOR DEMOLITION PERMITS
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • building@cupertino.org
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PURPOSE
The purpose of this guideline is to clarify the minimum requirements to allow for the removal of an
existing swimming pool. A building permit is required for the removal of all swimming pools.
PLAN REQUIREMENTS
1. Provide a completed construction permit application.
2. Provide an electronic copy of a completely dimensioned site plan showing all property lines, all
existing structures, location of existing swimming pool and setback dimensions from the pool to
the existing structures and property lines. Specify which of the options will be used below.
- Drawing and document files shall be saved as .pdf files. Drawing sheet file names should be
as follows: SHEET NUMBER ± SHEET TITLE. Save each drawing sheet as a single file.
3.Owner-Builder Disclosure Form (for property owners applying for their own building permit)
4. All existing gas and electrical lines will be verified to be properly terminated.
OPTION A – POOL SHELL TO REMAIN
1. Drill a minimum of three (3) - 12´ diameWeU hRleV evenly spaced along the center line of the pool
bottom. Call for initial inspection to verify size and spacing of required drain holes.
2.Backfill Whe UemaiQiQg SRRl Vhell ZiWh ô´ ma[imXm Vi]e cUXVhed URck fRU a miQimXm Rf 8´ deeS
at the bottom of the pool. Gravel shall be packed into place. Clean fill may be added beyond the
initial crushed rock backfill.
3. Line the top of gravel with a nonwoven geotextile filter fabric and wrap the fabric up the pool
walls at least 1 foot. The filter fabric should be at least 6-ounce per square foot weight, such as
Mirafi 160N, Amoco 4551, Contech 6-60NW, TNS R060, or other equivalent manufacturer's
product.
4. Backfill with clean dirt. Backfill shall be moistened and tractor rolled or tamped with a wacker
compacting plate into place. No fill dirt shall be stored on the street or public right-of-way without
an encroachment permit issued by the Department of Public Works.
5. Call for final inspection after all the work is complete.
6. NOTE: Backfill over the existing swimming pool shell may have differential settlement. Owner
agrees to use the area for landscape purposes only and not for any structural or floor slab support.
OPTION B – POOL SHELL TO BE REMOVED
Pool backfill area can be used to support a building or structure if the pool shell is removed in its
entirety and the backfill is certified by a licensed Geotechnical or Civil Engineer to verify backfill
materials, soil type, percentage of compaction, etc. Compaction report is required for Final
Inspection, and the compaction report must state that backfill area is suitable for a future structure.
If a compaction report is not provided, the pool backfill area will allowed to be used for landscape
purposes only and not for any structural or floor slab support.
SWIMMING POOL REMOVAL REQUIREMENTS
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 7O55E A9EN8E C8PERTINO, CA 95014-3255
(408) 777-3228 building@cupertino.org
1SF TO BE DEMOED
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Site Plan Example
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6-45/27/2020
ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | C&D Recycling Plan | Page 1 of 2
CONSTRUCTION & DEMOL ITION (C&D) RECYCLIN G PLAN
x Covered Projects must recycle or divert at least 65% of nonhazardous construction and demolition
waste per the Cupertino Municipal Code and California Green Building Standards Code.
x Permit applicants must submit this C&D Recycling Plan (Plan) before a permit will be issued.
x Covered Projects must submit the C&D Recycling Report (Report) before final permit approval. A
permit hold will be placed on the final inspection until you submit the Report and weight tickets.
x Applicants for demolition projects (excluding interior demolitions) must complete and submit the
PCB Screening Assessment Form available at cupertino.org/greendev. You must have this form
approved before receiving a demolition permit.
Is your project a Covered Project? Check the appropriate box that describes your project:
Project Type Description Covered? Required
Documents?
RESIDENTIAL
Demolition, new home construction, additions, or alterations
of existing residential buildings where the addition or
aleaionȱinceaeȱheȱbildingȂȱaeȱfooageǯ
Yes Plan and
Report
NONRESIDENTIAL
Demolition, interior tenant improvement preparation, newly
constructed buildings, and/or building alterations with a
permit valuation of $100,000 or above.
Yes Plan and
Report
EXEMPT
(not covered):
The project does not meet the above criteria. It is not a
eidenialȱpojecȱhaȱinceaeȱheȱbildingȂȱaeȱfooageȱORȱ
is a nonresidential project with a permit valuation less than
$100,000. Read, sign, and submit this page. Skip page two.
No Page 1 of
Plan Only
All applicants must read and sign:
o I understand I am responsible for complying with the requirements of the Cupertino Municipal
Code which requires recycling of C&D waste materials in accordance with the municipal code
and State law.
o I understand City staff may visit the project site to ensure compliance.
o I will instruct all site workers and subcontractors about sorting waste debris correctly on site.
_________________________________ ________________________________________ ______________________
Print Name / Title Signature Date
YOU MUST SUBMIT THIS PLAN TO RECEIVE THE BUILDING AND/OR DEMOLITION PERMIT APPLICATION.
Project Name: ___________________________________ Permit #:________________________________________
Project Address: ____________________________________________________________________________________
Project Valuation (must match permit): $__řŖǰŖŖŖ__________ Project Sq. Ft.:____________________________________
Prepared By: ____________________________________ Phone: __________________________________________
Company Name: _________________________________ Email: __________________________________________
Company Address: __________________________________________________________________________________
Project Typ e: New Construction Demolition Renovation/ Tenant Improvement
ȏŘŖŗşǯȱȱŖśȦŗŝȦŗş
Ranatunga Residence
10408 Sterling Boulevard, Cupertino, CA 95014
1323
RICHARD HERNANDEZ 650-391-7425
GILBERT FERNANDEZ JR gilbert_fernandezjr@yahoo.com
1821 S BASCOM AVE #258 CAMPBELL CA 95008
Richard Hernandez / Project M 01/22/2021
Total of 1746 SF to be demoed
ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | C&D Recycling Plan | Page 2 of 2
CONSTRUCTION & DEMOL ITION (C&D) RECYCLIN G PLAN
SELF HAUL: Put an X for any materials you will be discarding from your project.
This is the Plan. Changes may be made with the final Report.
Can it be salvaged for reuse? Plan to take photos of salvaged materials to estimate cubic yards/tons.
MATERIAL
DESTINATION
FACILITY
(or SALVAGE)
MATERIAL
DESTINATION
FACILITY
(or SALVAGE)
Mixed C&D Debris Drywall (unpainted)
Asphalt/ Concrete/ Brick/ Masonry/ Tile Landscape Debris
Cabinets/ Doors/ Fixtures/ Windows Metals
Carpet/ Carpet Padding / Foam Roofing Materials
Cardboard Wood / Lumber
Ceiling Tile (acoustic) Other Material (list):
Excavated soil Trash
1. An approved C&D Recycling facility means a mixed recovery facility that has achieved third party verification consistent with
facility-average recycling rates as recognized by the US Green Building Council. Presently, the Rec¢clingȱCeificaionȱInieȂ
Certification of Real Rates (CORR) protocol meets these requirements (recyclingcertification.org).
For staff use: Date PD/Accela Staff
Hold Released – C&D Recycling Plan Received
Hold Placed – Need C&D Recycling Report with Weight Tickets
Hold Released – C&D Recycling Report Received and Approved
For covered projects only, please check the box(es) below to describe your disposal plan:
I will use Recology debris box(es).
o Contact Recology: (408) 725-4020 to order debris boxes.
o Provide Recology your project building or demolition permit number(s) and ask Recology to
track and compile weight tickets for heȱojecȂȱdaion. The applicant is responsible for
submitting the weight tickets with the Report at the end of the project.
I will haul debris myself and track my own weight tickets.
o Mixed C&D materials may only be removed from the project site by Recology per the Exclusive
Franchise Agreement with the City of Cupertino OR b¢ȱheȱojecȂȱlicenedȱconcionȱand
demolition contractor as part of a total service offered by that contractor. An employee of the
contractor must perform removal, using equipment (including but not limited to debris boxes
and roll-off trucks) which are owned by the contractor.
o Mixed C&D materials must be delivered to an approved recycling facility1. Weight tickets for
all loads must name the address or city the material came from, inbound and outbound
weights, and material type (e.g. mixed C&D, metal, concrete, garbage/MSW).
o Submit the Report and weight tickets of all waste material removed from the project site. You
must submit this to get your final building inspection.
ȏŘŖŗşǯȱȱŖśȦŗŝȦŗş
Guadalupe
Guadalupe Guadalupe
ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | C&D Debris Recycling Report | Page 1 of 2
CONSTRUCTION & DEMOL ITION (C&D) RECYCLIN G REPORT
FOR COVERED PROJECTS, YOU MUST SUBMIT THIS REPORT PRIOR TO OBTAINING FINAL INSPECTION/OCCUPANCY
Project Name: Permit #:
Project Address:
Prepared By: Email: Phone:
x To receive a final building inspection and close the demolition or building permit, submit this C&D
Recycling Report with all weight tickets or proof of salvage for all material salvaged, recycled, disposed,
or removed from the project site.
x Calculate the overall diversion rate for the project. Complete the table below or provide the same
information in an Excel spreadsheet. If using Recology debris boxes, please enter the information below
and attach the Recology reports. For self-hauled materials, get diversion rates for each weight ticket from
the approved recycling facilities. You are responsible for getting the recycling rate by material type from
each facility.
Enter weight ticket information here. Space for additional tickets on back of page.
Facility Name Material
Type
Total
Tons
(A)
Facility Diversion %
Rate for this Material
(Contact the facility for
this rate or look online)
(B)
Tons
Recycled
A x B =
(C)
Tons
Disposed
A - C =
(D)
Tons Salvaged or
Reused
(if needed, use the worksheet
on the back to convert from
cubic yards)
Totals: A C E
________________________________ ___________________________________________ ____________________________
Print Name / Title Signature Date
Project Diversion Calculation: (add in totals from other side if used)
Total Tons Recycled + Salvaged =
C E
y Total Project Tons
A
ƽȱProject Diversion Rate %
ȏŘŖŗşǯȱȱŖśȦŗŝȦŗş
Ranatunga Residence
10408 Sterling Boulevard, Cupertino, CA 95014
0 0
0 0 0
ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | C&D Debris Recycling Report | Page 2 of 2
CONSTRUCTION & DEMOL ITION (C&D) RECYCLIN G REPORT
Enter additional weight ticket information here if needed:
Facility Name Material
Type
Total
Tons
(A)
Facility Diversion %
Rate for this Material
(Contact the facility for
this rate or look online)
(B)
Tons
Recycled
A x B =
(C)
Tons
Disposed
A - C =
(D)
Tons Salvaged or
Reused
(if needed, use the
worksheet on the back
to convert from cubic
yards)
Totals: A C E
Cubic Yards to Tons Conversion Worksheet
Material Type Cubic Yards
Conversion Factor from Cubic
Yards to Tons
(per CalRecycle)
Tons
(Cubic Yards x
Conversion Factor)
Asphalt 0.59
Cabinets/ Doors/ Fixtures/ Windows 0.25
Concrete 1.0
Other Inerts (brick, rock, stone) 0.62
Cardboard 0.05
Carpet 0.3
Dirt/Clean Fill 0.18
Gypsum Dry Wall 0.23
Job office paper, glass & plastic bottles,
cans (collect separately) 0.1
Metals 0.49
Landscape/Clearing 0.18
Roofing (specify type) 0.59
Untreated Wood (Pallets, lumber) 0.14
Treated Wood (painted, stained, pressure-
treated) 0.14
For staff use: Date PD/Accela Staff
Hold Released – C&D Waste Diversion Report (WRP) with weight tickets received
Hold Placed (if full demo) - place hold on address to require Plan & Report on building
ȏŘŖŗşǯȱȱŖśȦŗŝȦŗş
0 0 0
SF TO BE DEMOED 88
ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | Approved C&D Recycling Facilities | Page 1 of 1
A PPROVED C&D RECYCLING FACLITIES FOR MATERIALS FROM CUPERTINO
Self-hauled mixed C&D materials must be delivered to an approved C&D recycling facility that has achieved
third party verification consistent with facility-average recycling rates as recognized by the US Green Building
Council (USGBC). The Recycling Certification Institute (RCI) program meets the USGBC approved facilities
criteria. All RCI facilities are listed on the RCI website: https://www.recyclingcertification.org
Approved mixed C&D facilities near Cupertino are included in the table below. Inert materials (metal, concrete,
asphalt, dirt) and single-source separated materials may be taken to other recycling facilities, but must be
identified on the C&D Plan and Report.
RCI Certified Facilities for Mixed C&D Materials
Facility Name Address Phone Number Website
Davis Street Transfer Station 2615 Davis St, San Leandro (510) 912-1238 davisstreet.wm.com
Zanker Recycling 675 Los Esteros Road, San Jose (408) 263-2384 zankerrecycling.com
Inert Material Recovery Facilities**
Facility Name Address Phone
Number Notes
Stevens Creek
Quarry
12100 Stevens Canyon Rd
Cupertino (408)253-2512 Accepts clean concrete, asphalt, AC grindings.
Granite Rock 100 Graniterock Way
San Jose (408)574-3000 Accepts mixed or separated concrete and asphalt.
Call for more information.
Reed &
Graham, Inc.
690 Sunol Street
San Jose (408)287-1400
Accepts asphalt grindings, asphalt with Petromat
(contact for prior approval), broken asphalt from
roads or parking lots, base rock, and broken
cement sidewalks (contact for prior approval).
SRDC 11740 Berryessa Road
San Jose (408)392-9175 Accepts mixed or separated asphalt, bricks,
concrete, dirt, porcelain, and rock.
Schnitzer Steel 11665 Berryessa Road
San Jose (408)452-0777 Accepts ferrous and non-ferrous metals.
ECS Refining 705 Reed Street
San Jose (408)988-4386 Accepts ferrous metal, non-ferrous metal, batteries,
fluorescent tubes, ballasts, and electronic waste.
Sims Metal 1800 Monterey Road
San Jose (408)494-4200
Accepts ferrous metals, non-ferrous metals
(aluminum, copper, brass, stainless and alloys),
insulated wire, and electronic waste.
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ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | FAQs: C&D Recycling | Page 1 of 2
FAQS: CONSTRUCTION & DEMOLITION (C&D) RECYCLING
Frequently Asked Questions
1. Why do I need to recycle materials from my construction project?_______________
Cupertino Municipal Code and California Green Building Standards Code require projects that
meet certain specifications (Covered Projects) to recycle or divert from landfill at least 65% of
nonhazardous C&D waste.
2.How do I know if my project is a Covered Project?_______________________________
RESIDENTIAL: Demolition, new home construction, or additions or alterations of existing
residential buildings where the addition or alteration increasesȱtheȱbildingȂsȱsqareȱfootage.
NONRESIDENTIAL: Demolition, interior tenant improvement preparation, newly constructed
buildings, and/or building alterations with a permit valuation of $100,000 or above.
3. What is the process?__________________________________________________________
x Step 1: Complete the C&D Recycling Plan (Plan) and submit it with the permit application.
Your permit will not be issued without an approved Plan.
x Step 2: Environmental Programs Division staff will:
o Review and approve the Plan and authorize the permit to be issued.
o For Covered Projects, staff will place a hold on the permit final inspection to ensure
submittal of the C&D Recycling Report (Report) at the end of the project.
x Step 3: Contact Recology for a debris box and provide the associated permit number to track
with your project.
x Step 4: Upon collection of each debris box by Recology, request a copy of the receipt and
weight ticket(s) from delivery to the C&D recycling facility.
x Step 5: At the end of the your project, complete the C&D Recycling Report, attach copies of
all debris box weight tickets from the project (or a weight ticket report provided by
Recology) and submit directly to the Environmental Programs Division. Upon review of
the report, supporting documents, and verification of the diversion, staff will release the
hold on the permit and final inspection may be scheduled.
4. Is Recology the only company I can obtain a debris box from?___________________
Yes, Recology (408-725-4020) is the only debris box provider franchised to service Cupertino unless
a debris box is provided by the contractor working on the site as part of total service (see question
#5).
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ENVIRONMENTAL PROGRAMS DIVISION | 10300 TORRE AVENUE, CUPERTINO, CA 95014
408-777-3354 | ENVIRONMENTAL@CUPERTINO.ORG
City of Cupertino Environmental Programs | FAQs: C&D Recycling | Page 2 of 2
FAQS: CONSTRUCTION & DEMOLITION (C&D) RECYCLING
5.Can I self-haul my mixed construction and demolition waste?_____________________
Yes, but only under the following circumstances:
x Mixed C&D materials may only be removed from the ojecȱieȱb¢ȱheȱojecȂȱlicened
construction and demolition contractor as part of a total service offered by that contractor.
Removal must be performed by an employee of the contractor, using equipment (including
but not limited to debris boxes and roll-off trucks) which are owned by the contractor.
x Removal of single source separated materials (metal, wood, concrete) that are sold or
donated to any other person or organization which have a value equal to or more than the
cost of collection.
6.Where can I take self-hauled mixed construction and demolition materials?______
Mixed construction and demolition materials may only be taken to an approved C&D recycling
facility. An approved C&D Recycling facility means a mixed recovery facility that has achieved
third party verification consistent with facility-average recycling rates as recognized by the US
Green Building Council. Presently, the Rec¢clingȱCeificaionȱInieȂ Certification of Real Rates
(CORR) protocol meets these requirements. (See recyclingcertification.org for nearby facilities).
Source separated inert material may be taken to other material recovery facilities.
7.Can I obtain diversion credit for salvaging materials?______________________________
Yes, the first priority for demolition is to remove recoverable materials such as solid wood
floorboards and lumber, brick, appliances, windows, doors, and decorative hardware. There is a
conversion to weight for these items to assist completing the Report.
Best Management Practices
The following are key strategies to implement on your project to ensure that materials generated during
demolition and construction can be recycled and/or repurposed:
x Separate recyclable materials and keep them dry and free from contamination.
x Identify opportunities to source separate material generated from the project. For example,
consolidate clean lumber, metal, sheetrock, cardboard from the mixed debris. Single source
separated materials carry a greater potential for recycling and recovery when taken to a recycling
facility.
x Label debris boxes or storage containment areas by material type. For example, clean wood,
sheetrock, metal, concrete, and garbage.
x Your project will generate some material that is not recyclable. To avoid contaminating materials
that can be recycled or repurposed, place a container, either a Recology debris box or smaller
container (small single family residential jobs) specifically for garbage such as rigid plastics, film
plastics, empty adhesive containers, and worker food packaging.
x Tarp all debris boxes and contained material storage piles during wet weather.
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PCBs Screening Assessment Form
For Municipality Use Only
Date Received
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GILBERT FERNANDEZ JR
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CAMPBELL CA 95008
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408-500-8511 gilbert_fernandezjr@me.com
10408 STERLING BLVD
CUPERTINO 94586
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01/20/2021
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