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SAN JOAQUIN <br /> Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # I ot:ii <br />MANDATORY CONTACTS <br />San Joaquin County Health Officer - t•-•W <br />Care of Environmental Health Department <br />- <br />Linda Turkatte Time: w oo) Date: <br />Care of Clerk of the Board <br />San Joaquin County Board of Supervisors - Rachel DeBord Time: t 6 iu,,, • Date. S - 5 -19 <br />HEALTH AND SAFETY CODE 25180.7 <br />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 />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: e/Ar4 4k, leD <br />Printed name: Claudia Muro <br />Title: EHS Trainee <br />Date: oc3 — o Time: 3 : 5I P.M • <br />Nt 1-1): itorE-K-r y ow 0 Ce- <br />00100 PA ci tc RAIL tz_o1:49 <br />k 400 -2604 L. A .5 ¶ •All <br />Kk AR A- <br /> <br />N6 i -1 1 <br />CO NA 94 iJy <br />14, ? <br />t"4kL 10. ulvwsi pck.R-AlL20 AD <br />krrn) : R..oc3rRr ANA -ft. <br />.A•rt-t3 -MiKE A Lc 0 t5 <br />1 boo V 6-1t-rJo ij St. <br />12.z.S/Uf,Ck 9 5 G, 1s <br />Page 2 of 2 <br />1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com