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URF Final Step • • Page I 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. �,�'1 <br /> THIS WILL BE YOUR URF TRACKING NUMBER: 5507657706 D <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE/CONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH DES? <br /> 07-02-04 <br /> L REPORTED BY- <br /> LOCAL AGENCY-PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> MICHELE LE SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 304 E.WEBER ST,THIRD FLOOR <br /> STOCKTON,CA 95202 <br /> USA <br /> U.RESPONSIBLE PART Y- <br /> INDIVIDUAL IS PRIMARY RP <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAILADDRESS <br /> CYRUSS YOUSSEFFI MAIN STREET INVESTORS <br /> ADDRESS CONTACT DESCRIPTION <br /> 601 E.MAIN STREET <br /> STOCKTON,CA 95202 <br /> USA <br /> ID.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> MAIN STREET INVESTORS 39-0515732 <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 601 E.MAIN STREET <br /> STOCKTON,CA 95202 CROSS STREET <br /> SAN JOAQUIN COUNTY <br /> AMERICAN STREET <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> HEATERFUEL UNKNOWNUNKNOWN <br /> VL DISCOVERY/ABATEMENT <br /> DATE DISCHARGE BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 07-02-04 VS <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> 07-02-04 CT <br /> VII.SOURCE/CAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> T LINK <br /> DISCHARGE DESCRIPTION <br /> Vm.CASE TYPE <br /> CASE TYPE <br /> UNDETERMINED AFFECTED <br /> IX.REMEDIAL ACTION <br /> REMEDIAL ACTION BEGIN DATE END DATE DESCRIPTION <br /> https://geotracker.swrcb.ca.gov/urf3/urf final.asp 7/8/2004 <br />