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UAR/PROP 65_PRE 2019
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PR0231433
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UAR/PROP 65_PRE 2019
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Last modified
2/18/2020 11:24:53 AM
Creation date
2/18/2020 9:46:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0231433
PE
2361
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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G. MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County <br /> Board of Supervisors: —� � ��' / �� <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 d}scharge 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 felon; <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 /> Typed/Printed Name: i - <br /> Title: <br /> Date: <br /> Time: L5,'-3 <br /> cc: 1.� (°� ('� CTa � SWEEPS#/SITE CODE#: <br /> 56D CONMFR Y / N <br /> REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />
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