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URF Final Step Page 2 of 2 <br /> X.GENERAL COMMENTS <br /> UST DISCOVERED.UST REMOVED UNDER PERMIT.SITE REFERRED TO LOP FOR FURTHER INVESTIGATION. <br /> XI.CERTIFICATION <br /> I HEREBY CERTIFY THAT THE INFORMATION REPORTED HEREIN <br /> 11 IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. <br /> XIL REGULATORY USE ONLY <br /> CURRENT STATUS CURRENT STATUS DATE <br /> 1-LEAK CONFIRMATION <br /> 07-02-04 <br /> LOCAL AGENCY CASE NUMBER REGIONAL BOARD CASE NUMBER <br /> 39-0515732 <br /> LOCAL AGENCY-LEADAGENCY <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 MJMBER EXTENSION <br /> BUSINESS (209)468-3454 <br /> REGIONAL BOARD <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADD__R_ESS <br /> JAMES L.BARTON JLB CENTRAL VALLEY RWQCB(REGION 5S) <br /> ADDRESS CONTACT DESCRIPTION <br /> 11020 SUN CENTER DRIVE,SUITE 200 <br /> RANCHO CORDOVA,CA 95670 <br /> PHONETYPE PHONE NUMBER EXTENSION <br /> OFFICE (916)-4644615 <br /> SUBMIT UNAUTHORIZED RELEASE FORM <br /> LOGGED IN AS INFURNAM <br /> https://geotracker.swrcb.ca.gov/urf3/urf final.asp 7/8/2004 <br />