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I <br /> URF Finial Step Page l 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: 95404:39689 <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASEICONTAMINATION SITE REPORT <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES? <br /> 9/11/2007 <br /> 1.REPORTED BY- <br /> LOCAL AGENCY-PRIMARY CASEWORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS f <br /> FRANK GIRARDI FG SAN JOAQUIN COUNTY LOP fgirardi@sjcehd.com <br /> ADDRESS CONTACT DESCRIPTION <br /> 304 E WEBER AVE <br /> STOCKTON,CA 95202 <br /> USA <br /> PHONE TYPE PHONE NUMBER EXTENSION <br /> PUBLIC AGENCY (209)-953-7868 <br /> II.RESPONSIBLE PARTY- <br /> INDIVIDUAL IS PRIMARY RP <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> MARGE COMER MC MARGE COMER TRUST <br /> ADDRESS CONTACT DESCRIPTION <br /> 4639 RIDGE WOOD COURT <br /> STOCKTON,CA 95212 <br /> USA <br /> III.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> SWIFT ROOFING <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 1930 FREMONT <br /> STOCKTON,CA 95203 <br /> CROSS STREET <br /> SAN JOAQUIN COUNTY <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> MISCELLANEOUS MOTOR VEHICLE FUEL UNKNOWN <br /> Vl.DISCOVERYIABATEMENT 1 <br /> DATE DISCHARGE BEGAN 11111 <br /> ii <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> _ L <br /> 9/11/2007 SASI p <br /> v <br /> DATE STOPPED STOP.METHOD. DESCRIPTION k <br /> CT <br /> VII.SOURCE/CAUSE, <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK UNK <br /> DISCHARGE DESCRIPTION <br /> V111.CASE TYPE <br /> CASE TYPE <br /> https://www.geotracker.swrc'b.ca.gov/urf3/urf final.asp 9/11/2007 <br />