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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 /> 5/1 <br /> 5/2 <br /> 5/3 <br /> ...................................................... <br /> 5/4 <br /> .................................................................................. .....,...............................,.............................................................. <br /> 5/5 <br /> 5/6 <br /> 5/7 <br /> 5/8 <br /> 5/9 <br /> ........................................................ <br /> 5/10 <br /> 5/11 <br />