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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: 9350125968 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASEICONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES? <br /> 12/21/04 N <br /> L REPORTED BY- <br /> SECONDARY CASE WORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> MARGARET LAGORIO ML SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 304 E.WEBER <br /> STOCKTON,CA 95202 <br /> USA <br /> PHONE TYPE PHONE NUMBER EXTENSION <br /> ENSION <br /> PUBLIC AGENCY (209)-468-3449 <br /> IL RESPONSIBLE PARTY- <br /> REP.OF ORGANIZATION NAMED AS RP <br /> CONTACT NAME INITIALS ORGANIZATION-NAME EMAIL ADDRESS <br /> JAY COFFEY JC CITY OF STOCKTON HOUSING&REDEVELOPMENT <br /> ADDRESS CONTACT DESCRIPTION <br /> 22 E WEBER ROOM 350 <br /> STOCKTON,CA 95202 <br /> USA <br /> III.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> CITY OF STOCKTON REDEVELOPMENT AGENCY <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 216 CALIFORNIA <br /> STOCKTON,CA 95202 CROSS STREET <br /> SAN JOAQUIN COUNTY MINER <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> MISCELLANEOUS MOTOR VEHICLE FUEL UNKNOWN <br /> VL DISCOVERY/ABATEMENT <br /> DATE DISCHARGE BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 12/03/04 TANK CLOSURE <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> CT <br /> VH.SOURCE/CAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK UNK <br /> DISCHARGE DESCRIPTION <br /> VIII.CASE TYPE <br /> https://geotracker.swrcb.ca.gov/urf3/urf final.asp 12/22/2004 <br />