CA Bus & Prof Code Section 8764.5

Statements shall appear on the map as follows: Surveyor’s Statement This map correctly represents a survey made by me or under my direction in conformance with the requirements of the Professional Land Surveyors’ Act at the request of Name of Person Authorizing Survey in _______, 20__. (Signed and sealed) L.S. (or R.C.E.) No. County Surveyor’s Statement This map has been examined in accordance with Section 8766 of the Professional Land Surveyors’ Act this ____ day of ____, 20__. (Signed and sealed) County Surveyor L.S. (or R.C.E.) No. Recorder’s Statement Filed this ____ day of ____, 20__, at ____.m. in Book ____ of ____ at page ____, at the request of ____. (Signed) County Recorder No other statements may appear on the face of the map except those required or authorized by this article.