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TD,00 <br /> EHD LOG# I <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer— <br /> Care of Environmental Health De artmen Linda Turkatte Time: Date: b <br /> San Joaquin County Board of Superviso <br /> Care of Clerk of the Board Mimi Duzenski Time: Date: <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 /> illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his <br /> jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the <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 /> be disclosed under subdivision (b)shall, upon conviction, be punished by imprisonment in the county jail for not <br /> more than one year or by imprisonment in state prison for not more than three years. The court may also impose <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:AenaUmanzo <br /> Title: Registered Environmental Health Specialist <br /> Date: Friday, June 12,2015 Time: 1:47 pm <br /> c�rPen d�' (2 co !} <br /> �I- <br /> c,.,Pwd, /l icl7"hon% V4 <br /> °°' <br /> Po 8DA 2�q <br /> Revised 6/01/2015 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />