VERIFIED STATEMENT REGARDING THERMAL LOGBOOKS AND COMPLIANCE DOCUMENT (D.06-01-047; G.O. 167, 5.3 and 15.1.

1)

DATE: TO:

_____________, 200_ Electric Generation Performance Branch Consumer Protection and Safety Division California Public Utilities Commission ___________________________ (Name of Facility) ___________________________ (Unit Number) ___________________________ (Address of Facility) ___________________________ ___________________________ (Owner of Facility) ___________________________ (Address of Facility Owner ___________________________ if different from above) ___________________________ (Designated Contact Person) ___________________________ (Title) ___________________________ (Address if different from above) ___________________________ ___________________________ ___________________________ (Telephone Number) ___________________________ (E-mail Address) ___________________________ (Facsimile Number)

FROM:

Re:

Implementation and enforcement of operation and maintenance standards pursuant to Public Utilities Code Section 761.3 and General Order 167 I verify that the electric generation facility identified above is owned by an

electrical corporation or located in California. (Public Utilities Code Section 761.3.) I further verify that: a. the facility maintains logbooks in compliance with the requirements for Logbook Standards for Thermal Powerplants;

Revised: August 29, 2006

b. the compliance document required by the California Public Utilities Commission has been prepared and is available at the generation facility site; c. the logbooks and the compliance document will be updated and maintained as appropriate and necessary. Verification by Corporate Officer or Attorney (California Public Utilities Commission, Rules of Practice & Procedure, Rule 2.4) Verification by corporate officer: I am a corporate officer of the electric generation facility identified above that is subject to Public Utilities Code Section 761.3. I am authorized to make this verification on its behalf. The above statements are true of my own knowledge, except as to matters that are stated on information or belief, and as to those matters, I believe them to be true. I have exercised due diligence and reasonable care in determining the truth, or believed truth, of these matters. I declare under penalty of perjury that the foregoing is true and correct. Executed on ________________at ____________________, California. (date) (Name of City) ________________________ (Signature) ________________________ (Type or Print Name) ________________________ Title (if applicable) Alternative verification by attorney:
(Where corporate officer is absent from County of Attorneys office or otherwise unable to verify)

I am the attorney for the electric generation facility identified above that is subject to Public Utilities Code Section 761.3. An authorized corporate officer of the above facility is absent from the County of _________, California, where I have my office, or is otherwise unable to verify this document. I make this verification for that reason, and I am authorized to do so. The above statements are true of my own knowledge, except as to matters that are stated on information or belief, and as to those matters, I believe them to be true. I have exercised due diligence and reasonable care in determining the truth, or believed truth, of these matters.

Revised: August 29, 2006

I declare under penalty of perjury that the foregoing is true and correct. Executed on ________________at ____________________, California. (date) (Name of City) ________________________ (Signature) ________________________ (Type or Print Name) ________________________ Title (if applicable)

Revised: August 29, 2006