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Valley Pacific Petroleum Services Stockton,CA <br /> Spill Prevention,Control,and Countermeasure Plan <br /> Annual Inspection 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 /> (Year) <br /> 1 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br />