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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0505602
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/20/2019 2:46:40 PM
Creation date
6/20/2019 1:39:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505602
PE
2950
FACILITY_ID
FA0006891
FACILITY_NAME
BANK OF THE WEST
STREET_NUMBER
1267
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
11304217
CURRENT_STATUS
02
SITE_LOCATION
1267 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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G. MANDATORY CONTAC7t <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: �o,�,✓ / 'Q�'�/ / / O <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County / / /D <br /> Board of Supervisors: �O�✓ / d�/�✓ <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government employee who obtains information in the course of his official <br /> duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> the geographical area of his jurisdiction and who knows that such discharge or threatened <br /> discharge is likely to cause substantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> 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 <br /> knowledge within the locality affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> by imprisonment in the county jail for not more than one year or by imprisonment in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: <br /> ��; <br /> Typed/Printed Name: /'�tG� �/ /-u-P�✓�'9' <br /> Title: 5,jVo iP�_ iii✓ —�tL Ec <br /> Date: �T L, /�1�S Timd- 33b <br /> cc: C .GYy D/ SWEEPS#/SITE CODE#: �6' 50;' - <br /> CONMFR(2)/ N <br /> REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />
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