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'J AN' J 0 A Q U I N Environmental Health Department <br /> _i U N I <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EHDLOG# <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- Linda Turkatte Time: ���'Hm Date: r lao �d <br /> Care of Environmental Health Department <br /> San Joaquin County Board of Supervisors- <br /> Care of Clerk of the Board Mimi Duzenski Time: .4.t4t, <br /> Date: 6112-0 I9 <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 illegal <br /> discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows <br /> that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must,within <br /> seventy-two hours, disclose 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 enforcement personnel have <br /> determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already <br /> general public knowledge within the locality affected by the discharge or threatened discharge. <br /> c)Any designated government employee who knowingly and intentionally fails to disclose information required to be disclosed <br /> under subdivision (b)shall, upon conviction, be punished by imprisonment in the county jail for not more than one year or by <br /> imprisonment in state prison for not more than three years.The court may also impose upon the person a fine of not less than <br /> five thousand dollars($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 /> SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and the <br /> San Joaquin County Environmental Health Department <br /> Signature: <br /> Printed name: Haza Saeed <br /> Title: REHS <br /> Date: �� / Z��I Time: <br /> CO��`tCti VVhoieSoa-� �;��c�-+t� <br /> Alin: Cosi e o Li cw5'9V1J <br /> Pox 3500s <br /> 3M-ft \►R gS12y — 3Ljp<-- <br /> rrbper clvv^iw <br /> s t,,y_.t-,, L-LL <br /> Tcanc zwU^6 i Wa <br /> Sail MC4-eco C,i'� 610 I <br /> Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />