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URF Final Step .- / Page I aft <br /> REGULATORS HOME I RESTART WIZARD LOGOUT <br /> UNAUTHORIZED RELEASE FORM WIZARD <br /> -=YOUR URF HAS NOT YET BEEN SUBMITTED TO GEOTRACKERc- <br /> CLICK ON SUBMIT UNAUTHORIZED RELEASE FORM"TO SUBMIT THE URF. <br /> THIS WILL BE.YOUR URE TRACKING NUMBER: 7351300895' <br /> UNDERGROUND STORAGE.TANK UNAUTHORIZED RELEASEXONTAMINATION SITE REPORT <br /> REPORT DATE HAZA13DOUS MATERIAL INGIDFNT REPORT FILED WITH OE—S? <br /> 9113107 N <br /> I.REPORTED BY:- <br /> CAL AGENCY-PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> MARGARET LAGORIO ML SAN JOAQUIN COUNTY LOP <br /> ADDRESS.. CONTACT DESCRIPTION <br /> :304 E-WESER <br /> :STOCKTON,:.CA :95202 <br /> USA <br /> PHONE TYPE, PHONE:NUBER EXTENSION <br /> PUBLIC AGENCY (209)4$8-3449 <br /> I1.RESPONSIBLE.BARTY.-. <br /> FEE'TITLE/PROPERTY OWNER. <br /> QQNTACT NAME INITIALS_ ORGANIZATION NAME EMAIL ADDRESS <br /> CARY KEATON :CK CITY OF LATHROP <br /> ADDRESS CONTACT DESCRIPTION. <br /> 390 TOWNE CENTER <br /> LATHROP;CA 95330. <br /> III;SITE I:OCATION <br /> FACILITY NAME FEACIIII-ITY ID. <br /> CITY OF IATHROP <br /> FACIIITYADDEIESS ORIENTATION OF SITE TO SIREET <br /> 1.5.688 HARLAN: <br /> i ATF►RCSP CA 95330 CROSS STREET <br /> SAN JOAQUIRCOONTY THOMSEN. <br /> V.SUBSTANUS.RELEA►SL?I) <br /> SUBSTANCE RELEASED QESCRIPTION QUANTITY LOST <br /> INISCELLANEous moTORVEmIC.LE FUEL UNKNOWN <br /> V1:DISCOVERVIABATEMENT <br /> DATE VWHARGIE:BEGAN. <br /> UNKNOWN <br /> DATE D SQ VERED.. HOW D1,90O1/ERED DESCRIPTION <br /> 9113707 TANK CLOSURE <br /> DATE STOPPED STOP METHOb DESCRIPTIO <br /> CT <br /> V]1.SOURCEICAUSE <br /> $9URCF;OF DISCHARGE: CAUSE OF DISCHARGE <br /> UNK UNK <br /> D15,CHARG E,DESC RI PTION. <br /> VIII.CASE TYPE <br /> hgps/lgec tratker-4i r b.ca.govIurf3lur# final.asp 9/1412007 <br />