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Page 1 of 2 <br /> URF Final Step �../ <br /> • v r <br /> LOGOUT <br /> REGULATORS HOME I RESTART WIZARD <br /> UNAUTHORIZED RELEASE FORM WIZARD <br /> -=YOUR URF HAS NOT YET BEEN SUBMITTED TO GEOTRACKER=- <br /> CLICK ON "SUBMIT UNAUTHORIZED RELEASE FORM"TO SUBMIT THE URF. <br /> THIS WILL BE YOUR URF TRACKING NUMBER: 7609204947 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE/CONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES7 <br /> 03-13-03 <br /> I RFpORTFDBY- <br /> rENCY PRIMARY CASEWORKER <br /> INITIALORGANIZATION NAME EMAIL ADDRESS <br /> CONTACT NAME �.� <br /> MICHAEL INFURNA MIC SAN JOAQUIN COUNTY LOP <br /> CONTACT DESCRIPTION <br /> API304 4 EERW BER AVENUE 3RD FLOOR <br /> STOCKTON,CA 95202 <br /> USA <br /> (BUSINESS <br /> E <br /> PHONE NUMBER EXTENSION <br /> (2091"4 -3454 <br /> H.of PONSIB FPARTY- <br /> CONTACT NAME <br /> INITIALS nRc^ANIZATION NAME EMAIL ADDRESS <br /> VAN DE POL ENTERPRISES SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 1001 W.CHARTER WAY <br /> STOCKTON,CA 95206 <br /> USA <br /> In.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> VANCO TRUCK PLAZA <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 1033 W.CHARTER WAY <br /> STOCKTON,CA 95206 CROSS STREET <br /> SAN JOAQUIN COUNTY INTERSTATE 5(JUST WEST OF) <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> DIESEL FUEL OIL AND ADDITIVES UNKNOWNUNKNOWN <br /> VI.DISCOV ERYIABATEMENT <br /> DATE DISCHARGE <br /> BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DESCRIPTION <br /> DISCOVERED PIPING UPDATE(DOUBLE WALL INSTALLATION)WITH SOIL SAMPLING AND <br /> 03-13-03 <br /> UM ANALYSES. <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> NPP <br /> VII,SOURCEICAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK UNK <br /> DISCHARGE DESCRIPTION <br /> VIII.CASE TYPE <br /> CASETYPE <br /> UNDETERMINED AFFECTED <br /> https:Hgeotracker.swrcb.ca.gov/urf3/urf final.asp 5/30/2003 <br />