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SAN _] OAQUIN Environmental Health Department <br /> - - COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EHD LOG# )0 -100 <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- � <br /> Care of Environmental Health Department Wayne Fox Time: .o�u Date: `/ ,4U zo <br /> San Joaquin County Board of Supervisors- <br /> Care of Clerk of the Board Rachel DeBord Time: Date: <br /> Y. <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 illegal <br /> discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows <br /> that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must, within <br /> seventy-two hours, disclose such information to the local Board of Supervisors and to the local health officer. No disclosure if <br /> information is required under this subdivision when otherwise prohibited by law, or when law enforcement personnel have <br /> determined that such disclosure 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 information required to be disclosed <br /> under subdivision (b) shall, upon conviction, be punished by imprisonment in the county jail for not more than one year or by <br /> imprisonment in state prison for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5000) or more than twenty-five thousand dollars ($25,000).The felony conviction for violation of this <br /> SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and the <br /> San Joaquin County Environmental Health Department <br /> Signature: <br /> Printed nam �JasdGaitan <br /> Title: EH Specialist <br /> Date: tl?-#,2020 Time: I Uc�m <br /> I � �C4 �- S <br /> /Ili 5f� � �� . Chir r�1 <br /> Ilo �r�h 6rt ie Rdqc,20 fAgE Z <br /> q-5222- 3b <br /> Iq <br /> Page 2 of 2 <br /> 1 QaQ G 41 r�cl+nn Aicni is I Ctnrlrtnn (`nlifnrnin Qr+')n , I T )nQ AAR-ugn I F 90Q AF,d-nl�R I www cirphd rom <br />