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EHD LOG# <br /> G. MANDATORY CONTACTS <br /> San Joaquin county Public Health services— <br /> Contact-Environmental Health Department Donna Heran Time: Date: CC <br /> San Joaquin County Board of Supervisors— <br /> Contact—Office of Emergency enc Services Michael Cockrell Time: Date: y <br /> III <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> (b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must, within seventy-two hours, disclose <br /> such information to the local Board of Supervisors and to the local health officer. No disclosure if <br /> information is required under this subdivision when otherwise prohibited by law, or when law <br /> enforcement personnel have determined that such disclosure would adversely affect an ongoing <br /> criminal investigation, or when the information is already general public knowledge within the locality <br /> affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose information <br /> required to be disclosed under subdivision (b) shall, upon conviction, be punished by imprisonment in <br /> the county jail for not more than one year or by imprisonment in state prison for not more than three <br /> years. The court may also impose upon the person a fine of not less than five thousand dollars <br /> ($5000) or more than twenty-five thousand dollars ($25,000). The felony conviction for violation of this <br /> section shall require forfeiture of government employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> San Joaquin County Environmental Health Department <br /> Signature: <br /> Printed Name: Je ey Wong <br /> Title: Senior Registered Environmental Health Specialist <br /> Date: Friday, July 25, 2014 Time: 3:52PM <br /> cc: DTSC <br /> CVRWQCB Site Code: <br /> Su L G a.Q COu.n CA ( 0 f Cti t -n;a -/} "I'M OEGCe o Flgm('c on MFR Yes No <br /> AI AciiP Q' (ij g�SSN• &I Nr'0 5"f',512 270,6%,44 �e erred: <br /> 5{ocj�d01 : ci 114mdolfe— <br /> /VN &I Dovot Sf, 5Vdee- 0n,61? <br /> 14 ldsufabe °efAV�n <br /> Revised 04/19/12 " �r�u`��<A <br /> Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />