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URF Final Step Page 1 of 3 <br /> REGULATORS HQME 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 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASEICONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES? <br /> MAY 21,2003 <br /> I_REPORTED BY- <br /> LOCAL AGENCY PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> MICHAEL INFURNA MIC SAN JOAQUIN COUNTY LOP <br /> CONTACT DESCRIPTION <br /> 304E W BER AVENUE 3RD FLOOR <br /> STOCKTON,CA 95202 <br /> USA <br /> PHONE TYPE PHONE NUMBER EXTENSION <br /> BUSINESS (209)-468-3454 <br /> H nESPONSIBLE PAATY- <br /> n_onenn�eTION IS PRIMARY RP <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> USA GAS/PALISADES GAS&WASH SAN JOAQUIN COUNTY LOP <br /> RM CONTACT DESCRIPTION <br /> 301Oi AG URA HILLS CT SUITE 200 <br /> AGOURA HILLS,CA 91301 <br /> USA <br /> III.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> USA GASOLINE#835 <br /> FACI Qi"- ORIENTATION OF SITE TO STREET <br /> A <br /> CROSS STREET <br /> SAN JOAQUIN COUNTY RYDE <br /> V.SUBSTANCES RELEASED <br /> MAMANGE RELEASED DESCRIPTION QUANTITY LOST <br /> GASOLINE-AUTOMOTIVE UNKNOWNUNKNOWN <br /> VL DISCOVERY/ABATEMENT <br /> https://geotracker.swrcb.ca.gov/urf3/Urf final.asp 5/23/2003 <br />