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CO6XPHU2T
EnvironmentalHealth
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2500 – Emergency Response Program
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CO6XPHU2T
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Last modified
11/24/2020 10:25:03 AM
Creation date
2/8/2019 5:28:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO6XPHU2T
PE
2546
STREET_NUMBER
3028
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
14502018
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
3028 Navy Dr, Stockton
RECEIVED_DATE
1/28/2017 12:00:00 AM
P_LOCATION
01
QC Status
Approved
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ADMIN
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\MIGRATIONS\N\NAVY\3028\CO6XPHU2T.PDF
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EHD - Public
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EHD LOG# °-7 —d I <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer— 0 Date: <br /> Care of Environmental Health De artment Linda Turkatte Time: C{ ; <br /> San Joaquin County Board of Supervisors— Date: a r7 <br /> Care of Clerk of the Board Mimi Duzenski Time: <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 Nam . arrett Backus <br /> Title: Lead Senior Registered Environmental Health Specialist <br /> Tuesday, January 31, 2017 Time: 4:11 pm <br /> Date. <br /> Po.Gi -pt(Z- F,+atnn ( 3 30'0L*'n Cain <br /> \3 p 8 Davy OR,� S fork ", Ct' 6)5 ao <br /> Oorf- 10Is�rlc� <br /> s4 oak , C <br /> Revised 6/01/2015 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />
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