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URF Final Step _ _ Page 1 of 2 <br /> REGULATORS HOME I RESTART WIZARD LOGOUT <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: 3120328605 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASEICONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OE_S? <br /> 3118/05 N <br /> 1.REPORTED BY- <br /> LOCAL AGENCY-PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> HARLIN KNOLL HAR SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 304 E WEBER AVE <br /> STOCKTON, <br /> II.RESPONSIBLE PARTY- <br /> I'MMARY RESPONSIBLE PARTY <br /> CONTACT NAME INITIALS ORGANIZATION_NAME EMAIL ADDRESS <br /> TED SWANSON VALLEY WATER TREATMENT <br /> ADDRESS CONTACT DESCRIPTION <br /> 6520 CROSSWOODS CIRCLE <br /> CITRUS HEIGHTS,CA, 95620 <br /> US <br /> III.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> VALLEY WATER TREATMENT <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 612 N.BUENA VISTA AVE. <br /> STOCKTON,CA 95203 CROSS STREET <br /> SAN JOAQUIN COUNTY FREMONT STREET <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> GASOLINE-AUTOMOTIVE SOIL AND GROUNDWATER UNKNOWNUNKNOWN <br /> VI.DISCOVERY/ABATEMENT <br /> DATE-DISCHARG_E BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 2125/05 SASI <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> CT <br /> VII.SOURCE/CAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK UNK <br /> DISCHARGE DESCRIPTION <br /> VIII.CASE TYPE <br /> CASE TYPE <br /> DRINKING WATER AQUIFER <br /> IX.REMEDIAL ACTION <br /> https://www.geotracker.swrcb.ca.gov/urf3/urf finai.asp 5/12/2005 <br />