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UAR/PROP 65_PRE 2019
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PR0506032
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
11/20/2024 9:08:29 AM
Creation date
11/5/2018 10:35:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0506032
PE
2381
FACILITY_ID
FA0007159
FACILITY_NAME
KINGS ISLAND
STREET_NUMBER
21334
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
12919002
CURRENT_STATUS
02
SITE_LOCATION
21334 W HWY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\21334\PR0506032\UAR_PROP 65.PDF
Tags
EHD - Public
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G. MANDATORY CONTACT,_ <br /> Public Health Services <br /> of San Joaquin County28 95 <br /> (Date) <br /> Environmental Health Division: n n (T <br /> (Contact Name) <br /> 1 San Joaquin County m I�, W\r) / /5 til; R M5 <br /> Board of Supervisors: <br /> (Contact Name) (T' e) (Date) <br /> H. HEALTH AND SAFETY CODE S 25150.7. ial <br /> (b) Any designated government employee who obtains <br /> informationa of a hazardous was a within <br /> duties revealing the illegal discharge or threatened illegal discharg a or threatened <br /> the geographical area of his jurisdiction and the knows <br /> health or safety hang, within seventy- <br /> discharge is likely to cause substantial injury public <br /> must <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> 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 <br /> knowledge within the locality affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> by imprisonment in the county jail for not more than one year or by imprisonment in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated em1 es of the County.os an Joaquin, and <br /> (Agency Name) <br /> Signature: " v` <br /> Typed/Printed Name: <br /> Titie: Sz�l i�C f5 '2� �n ' Ilt� ( �Q ( PGG2 <br /> Date: Time: <br /> cc: SWEEPS#/SITE CODE#: 5000.3-z <br /> DIVSCI CONMFI�/yy N <br /> RPS 3,Si aeGc!`Iv REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />
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