Laserfiche WebLink
URF Final Step 11-4 Page 1 of 2 <br /> v <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. <br /> THIS WILL BE YOUR URF TRACKING NUMBER: 8678998649 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASEICONTAMINATION SITE REPORT <br /> REPORT.DATE HAZARDOUS MATERIAL_INCIDENT REPORT FILED WITH OES? <br /> 05/21/04 N <br /> I.REPORTED BY- <br /> LOCAL AGENCY-.PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION_NAME EMAIL ADDRESS <br /> HARLIN KNOLL HAIR SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 304 E WEBER AVE <br /> STOCKTON, <br /> IL RESPONSIBLE PARTY- <br /> ORGANIZATION IS PRIMARY RP <br /> CONTACT-NAME INITIALS ORGANIZATION-NAME EMAILADDRESS <br /> MOHAMEED SAEED ISLAMIC CENTER <br /> ADDRESS CONTACT DESCRIPTION <br /> 1130 S.PILGRAM STREET <br /> STOCKTON,CA 95210 <br /> SAN JOAQUIN <br /> 111.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> ISLAMIC CENTER 15135001 <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 1130 S.PILGRIM STREET <br /> STOCKTON,CA 95210 CROSS STREET <br /> SAN JOAQUIN COUNTY JACKSON <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> #6 FUEL OIL UNKNOWNUNKNOWN <br /> VI.DISCOVERYIABATEMENT <br /> DATE DISCHARGE BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 05/21/04 TANK CLOSURE TANK CLOSED <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> 05/21/04 CT CLOSE AND REMOVE TANK <br /> VII.SOURCE/CAUSE. <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> T C <br /> DISC HARGE.DESCRIPTION <br /> Vl1I.CASE:TYPE <br /> CASE TYPE <br /> UNDETERMINED AFFECTED <br /> IX.RF,MEDIAL ACTION <br /> REMEDIAL ACTION BEGIN DATE END DATE DESCRIPT_I.ON_ <br /> NO ACTION 05/21/04 <br /> https://www.geotracker.swreb.ca.gov/urf3/urf final.asp 6/9/2004 <br />