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SITE INFORMATION AND CORRESPONDENCE FILE 1
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0505513
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/20/2019 3:54:28 PM
Creation date
6/20/2019 2:49:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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1 ' <br /> G. MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County <br /> Environental-lealthDivi <br /> msionU e,�, <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County . <br /> Board of Supervisors: r E.4.)k 1 V / / <br /> (Contact Name) (Time) (Date) <br /> H. HEN TH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government ethployce 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 arca 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 <br /> prohibited by law, or when law enforcement personnel have determined that such disclosure <br /> " 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 <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 <br /> prison for not more than three years. The court may also impose upon the person a fine of not <br /> less than five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). <br /> The felony conviction for violation of this section shall require forfeiture of government <br /> employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all he des' nated employees of the County of San Joaquin, <br /> and _ boa S� CU t % Q LeYJi PS �' v`r <br /> N (Agency N e) 6fh r k3-1 011 . <br /> Signature: <br /> Typed Name: <br /> Title: L,� NkPfe rnUiit#(8/1mey1 ec S;aec14 ` <br /> Date: /ZAAAO Time: <br /> cc: _ C V Q�Q <br /> DSS - TSCV <br /> EH 22 013 (Rev. 2/90) <br />
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