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i <br /> EHD LOG# <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer— Date: <br /> Care of Environmental Health De artment Linda Turkatte Time: Gf <br /> San Joaquin County Board of Supervisors— Mimi Duzenski Time: Date: <br /> Care of Clerk of the Board <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 /> of a hazardous waste within the geographical area of his <br /> illegal discharge or threatened illegal discharge <br /> threatened discharge is likely to cause substantial injury to the <br /> jurisdiction and who knows that such discharge or <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 /> by imprisonment in the county jail for not <br /> be disclosed under subdivision(b) shall, upon conviction, be punished <br /> e prison for not more than three years.The court may also impose <br /> more than one year or by imprisonment in stat <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 /> (Agency Name) <br /> Signature: <br /> Printed Name: n 7anzo <br /> Title: Senior Registered Environmental Health Specialist <br /> Friday,August 21, 2015 Time: 2 20 Pm <br /> Date: <br /> °: N s f, ,q9� �; shy, o��►' <br /> ,1500 cou 0�I do/ 4yo , Tx <br /> Revised 6101/2015 <br /> Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />