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EHD LOG# D <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Environmental Health Time: �',?j ate: _ �j-� <br /> De ailment <br /> San Joaquin County Board of Supervisors- Michael Cockrell Time: % ',� ate: <br /> Contact-Office of Eme en Services <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 /> t. 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 /> Vqwkr dt <br /> Signature: <br /> Printed Name: <br /> Title: <br /> Date: Time: 09V ��1� <br /> W: DTSC Site Code: <br /> CVRWQCB <br /> � "n 5 /�yf• 5c0�1 w A A, � Con MFR Yes No <br /> r-a.��(d,I7 , l�-�C�f' Referred: <br /> PO &>x a0v8, �iFk+r,CA <br /> Pro Fe'r'V'9 Oji/'W' Sag.e1I'6 T4 <br /> 0 iN�a I4 5rO I WUAs In ,aOU,f� <br /> Revised 08=12 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />