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1 COPY <br /> EHD LOG# <br /> MANDATORY CONTACTS (Q <br /> 10• ` <br /> San Joaquin County Health Officer– Linda Turkatte Time: l.`D Date: <br /> Care of Environmental Health Department <br /> San Joaquin County Board of Supervisors– Mimi Duzenski Time: M-C Date: <br /> Care of Clerk of the Board <br /> HEALTH AND SAFETY CODE 25180.7 <br /> b)Any designated government employee who obtains information in the course of his official duties revealing the <br /> illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his <br /> jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the <br /> public health or safety must, within seventy-two hours, disclose such information to the local Board of Supervisors <br /> and to the local health officer. No disclosure if information is required under this subdivision when otherwise <br /> prohibited by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public knowledge within the <br /> locality affected by the discharge or threatened discharge. <br /> c)Any designated government employee who knowingly and intentionally fails to disclose information required to <br /> be disclosed under subdivision (b) shall, upon conviction, be punished by imprisonment in the county jail for not <br /> more than one year or by imprisonment in state prison for not more than three years. The court may also impose <br /> upon the person a fine of not less than five thousand dollars($5000)or more than twenty-five thousand dollars <br /> ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment <br /> within thirty days of conviction. <br /> SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and <br /> San Joaquin County Environmental Health Department <br /> (Agency Name) <br /> Signature: --– <br /> Printed Name: Aaron Hang <br /> Title: Environmental Health Specialist — <br /> Date: <br /> Thursday,August 24, 2017 Time: 4:15pm <br /> — <br /> c: SvtVey ShX� I ri�uS�cVS <br /> mo.. I"/P_(l ey � . iIL/l ae-( <br /> Wixl OGk-46L&V� Ave,, <br /> PD Gox SL{67) <br /> LAA1 W CA G'115 c� <br /> Revised 6/01/2015 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />