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Valley Pacific Petroleum Services Stockton,CA <br /> Spill Prevention,Control,and Countermeasure Plan <br /> Monthly Record <br /> I certify under penalty of law that I have personally examined and am familiar with the required Monthly Inspection. I <br /> believe that the information is true, accurate, and complete. I am aware that there are significant penalties for <br /> submitting false information, including the possibility of fine and imprisonment. <br /> Name Title Signature Date Record# <br /> (yr Imo.) <br /> 3/1 <br /> 3/2 <br /> 3/3 <br /> 3/4 <br /> 3/5 <br /> 3/6 <br /> 3/7 <br /> 3/8 <br /> 3/9 <br /> ........................................................ <br /> 3/10 <br /> .................................................................................. .....,...............................,............................................................... <br /> 3/11 <br /> ........................................................ <br /> 4/1 <br /> .................................................................................. ......,...............................,............................................................... <br /> 4/2 <br /> .......................................................................... ......................................... <br /> 4/3 <br /> .................................................................................. ......,............................................................................................... <br /> 4/4 <br /> .......................................................................... ......................................... <br /> 4/5 <br /> .................................................................................. ......,...............................,...................................................... <br /> 4/6 <br /> ......................................................................... ......................................... <br /> 4l7 <br /> ...................................................................................... ......,...............................,.............................................................. <br /> 4/8 <br /> 4/9 <br /> 4/10 <br /> 4/11 <br />