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`W <br />EHD LOG# <br />MANDATORY CONTACTS <br />card -Y <br />San Joaquin County Health Officer— <br />Care of Environmental Health Department <br />Linda Turkatte <br />Time: <br />Cj <br />Date: <br />San Joaquin County Board of Supervisors — <br />, <br />Care of Clerk of the Board <br />Mimi Duzenski <br />Time: <br />Date: <br />(� <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 />Signature: <br />Printed Name: Elena MarNW 0 <br />Title: Registered Environmental Health Specialist <br />Date: <br />Monday, January 9, 2017 <br />R eJdw*A� TiAgitf 4eyminod <br />A*l -. tai Ca%fWO <br />L44e? . p-esca*do A-v� <br />-rea Gva CA g53t <br />Time: 8:30 am <br />Revised 6/01/2015 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />