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URF Final Step • Pagel of 2 <br /> • <br /> REGULATORS HOME I RESTART WIZARD <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:8823292374 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE/CONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH DES? <br /> 2/4/08 <br /> 1.REPORTED BY- <br /> LOCAL AQENCY-PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> MARGARET LAGORIO ML SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 600 E.MAIN <br /> STOCKTON,CA 95202 <br /> USA <br /> PHONE TYPE PHONENUMBER EXTENSION <br /> PUBLIC AGENCY (209)-468-3449 <br /> Il.RESPONSIBLE PARTY- <br /> ORGANIZATION IS PRIMARY RP <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAILADDRESS <br /> ST.JOHN'S EPISCOPAL CHURCH ST.JOHN'S EPISCOPAL CHURCH <br /> ADDRESS CONTACT DESCRIPTION <br /> 316 N.ELDORADO STREET <br /> STOCKTON,CA 95202 <br /> USA <br /> HI.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> CANCUN RESTAURANT <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 135 MINER <br /> STOCKTON,CA 95202 <br /> SAN JOAQUIN COUNTY CROSS STREET <br /> HUNTER <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> MISCELLANEOUS MOTOR VEHICLE FUEL UNKNOWN <br /> VI.DISCOVERY/ABATEMENT <br /> _DATE DISCHARGE BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 2/4/08 TANK CLOSURE <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> CT <br /> VII.SOURCE/CAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK UNK <br /> DISCHARGE DESCRIPTION <br /> VIII.CASE TYPE <br /> https:Hgeotracker.swrcb.ca.gov/urf3/urf final.asp 2/12/2008 <br />