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URF Final Step Pagel 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. <br /> THIS WILL BE YOUR URF TRACKING NUMBER: 2081403434 i <br /> UNDERGROUND STORAGE"TANK UNAUTHORIZED PELEASEICONTAMINATION SITE REPORT- <br /> REPORT DATE HAZARDOUS MATERIAL INCIDENT REPORT FILED WITH OES? <br /> 02-18-04 <br /> 1.REPORTED BY- <br /> SECONDARY CASE WORKER <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> RAYMOND VON FLUE RVF SAN JOAQUIN COUNTY LOP <br /> ADDRESS CONTACT DESCRIPTION <br /> 304 E.WEBER <br /> STOCKTON,CA 95202 <br /> UNITED STATES <br /> II.RESPONSIBLE PARTY- <br /> INDIVIDUAL IS PRIMARY RP <br /> CONTACT NAME INITIALS ORGANIZATION NAME EMAIL ADDRESS <br /> DEAN JANSSEN ACE TOMATO CO INC v <br /> ADDRESS CONTACT DESCRIPTION <br /> 2771 E.FRENCH CAMP RD <br /> MANTECA,CA 95336 <br /> UNITED STATES <br /> Iii.SITE LOCATION <br /> FACILITY NAME FACILITY ID <br /> ACE TOMATO CO INC 39-004252 <br /> FACILITY ADDRESS ORIENTATION OF SITE TO STREET <br /> 2771 E.FRENCH CAMP RD <br /> MANTECA,CA 95336 CROSS STREET <br /> SAN JOAQUIN COUNTY <br /> UNION RD <br /> V.SUBSTANCES RELEASED <br /> SUBSTANCE RELEASED DESCRIPTION QUANTITY LOST <br /> GASOLINE-AUTOMOTIVE UNKNOWN <br /> METHYL-TERT-BUTYL-ETHER(MTBE) UNKNOWN <br /> VI.DISCOVERY/ABATEMENT 3 <br /> DATE DISCHARGE BEGAN <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED DESCRIPTION <br /> 02-17-04 OM UST RETROFIT <br /> DATE STOPPED STOP METHOD DESCRIPTION <br /> 02-18-04 OT REPLACE SPILL BUCKET <br />` Vii.SOURCEICAUSE <br /> SOURCE OF DISCHARGE CAUSE OF DISCHARGE <br /> UNK LINK <br /> DISCHARGE DESCRIPTION <br /> VIll.CASE TYPE <br /> CASE TYPE <br /> SOIL IMPACTED <br /> IX.REMEDIAL AMON <br /> L OPFI LE COPY <br /> 1_1� https://geotracker.swreb.ca.gov/urf3/urf-final.asp 2/19/2004 <br />