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URF Final Step Page 1 of 2 <br /> REGULATORS HOME(RESTART WIZARD <br /> _L...OGOUT <br /> UNAUTHORIZED RELEASE FORIVIWIZARD <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:S343686759 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE/CONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH DES? <br /> 03/03ro5 N <br /> I.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 /> 1IPHONE TYPE PHONE NUMBER <br /> EXTENSION <br /> PUBLIC AGENCY (209)-468-3449 <br /> IL RESPONSIBLE PARTY. <br /> ORGANIZATION IS PRIMARY RP <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> CITY OF LODI CITY OF LODI <br /> ADORE SS CONTACT DESCRIPTION <br /> 221 PINE STREET <br /> LODI,CA 95240 <br /> III.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> CITY OF LODI <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 230 ELM <br /> LODI,CA 95240 CROSS STREET <br /> SAN JOAQUIN COUNTY CHURCH <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 /> 03/03/05 TANK CLOSURE <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> CT <br /> VII.SOURCE/CAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK LINK <br /> DISCHARGE DESCRIPTION <br /> VIIL CASE TYPE <br /> CASE TYPE <br /> SOIL IMPACTED <br /> https://geotracker.swrcb.ca.gov/urf3/Urf final.asp 3/4/2005 <br />