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URF Final Step _ Page 1 of 2 <br /> Nftwoll <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: 1058606803 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE/CONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES? <br /> 8/25/04 N <br /> I.REPORTED BY- <br /> LOCAL 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.WEBER <br /> STOCKTON,CA 95202 <br /> USA <br /> PHONE TYPE PHONE NUMBER EXTENSION <br /> PUBLIC AGENCY (209)-468-3449 <br /> II.RESPONSIBLE PARTY- <br /> PRIMARY RESPONSIBLE PARTY <br /> CONTACT NAME I-NITIALS.. ORGANIZATION-NAME EMAIL ADDRESS <br /> ERLINDA HERNANDEZ EH ERLINDA HERNANDEZ TR <br /> ADDRESS CONTACT DESCRIPTION <br /> 4302 BOULDER CREEK <br /> STOCKTON,CA 95219 <br /> USA <br /> I_II.SITE LOCATION <br /> FACILITY NAME FACILITY-ID <br /> ARROYO'S SMOG SHOP <br /> FACILITY ADDRESSORIENTATIONT <br /> 30 -OF SITE TO STREET. <br /> WATERLOO <br /> STOCKTON,CA 95205 CROSS STREET <br /> SAN JOAQUIN COUNTY GOLDEN GATE <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> MISCELLANEOUS MOTOR VEHICLE FUEL UNKNOWNUNKNOWN <br /> VL-DISCOVERY/ABATEMENT <br /> DATE DISCHARGE BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 8/25/04- - PST <br /> DATE STOPPED STOP METHOD_ DESCRIPTION <br /> - - CT <br /> VII.SOURCE/CAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> LINK LINK <br /> DISCHARGE DESCRIPTION <br /> VIII.CASE TYPE <br /> https://geotracker.swrcb.ca.gov/urf3/urf final.asp 9/1/2004 <br />