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URF Final Step <br />"mJ <br />REGULATORS HOME I RESTART WIZARD <br />m <br />Page 1 of 2 <br />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: 5322400748 <br />UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASEICONTAM I NATION SITE REPORT <br />REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES? <br />10-24-03 <br />L REPORTED BY - <br />LOCAL AGENCY - PRIMARY CASEWORKER <br />CONTACT NAME INITIALS ORGANIZATION_ NAME EMAIL ADDRESS <br />MICHAEL INFURNA MIC SAN JOAQUIN COUNTY LOP <br />ADDRESS CONTACT DESCRIPTION <br />304 E WEBER AVENUE 3RD FLOOR <br />STOCKTON, CA 95202 <br />USA <br />PHONE TYPE PHONE NUMBER EXTENSION <br />- -- <br />BUSINESS (209)-468-3454 <br />11. RESPONSIBLE_ PARTY - <br />INDIVIDUAL IS PRIMARY RP <br />CONTACT NAME INITIALS ORGANIZATION_ NAME EMAIL ADDRESS <br />JOE PANETTA PANETTA FARMS <br />ADDRESS CONTACT DESCRIPTION <br />PO BOX 1072 <br />SAN RAMON, CA <br />USA <br />111. SITE LOCATION <br />FACILITY NAME FACILITY ID <br />PANETTA PROPERTY <br />FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br />95 E. 11TH STREET <br />TRACY, CA 95736 <br />CROSS STREET <br />SAN JOAQUIN COUNTY <br />ADAMS <br />V. SUBSTANCES RELEASED <br />SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br />GASOLINE - AUTOMOTIVE UNKNOWNUNKNOWN <br />VL_ DISCOVERY/ABATEMENT <br />DATE DISCHARGE BEGAN <br />UNKNOWN <br />DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br />T <br />10-21-03 V5 <br />DATE STOPPED STOP METHOD DESCRIPTION_ <br />10-21-03 CT <br />VII. SOURCE/CAUSE <br />SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br />LINK LINK <br />DISCHARGE_ DESCRIPTION <br />Vlll. CASE TYPE <br />CASE TYPE <br />AQUIFER USED FOR DRINKING WATER SUPPLY AFFECTED <br />https:Hgeotracker.swrcb.ca.gov/urf3/urf final.asp 11/6/2003 <br />