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CO0054015 (2)
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CO0054015 (2)
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Last modified
2/8/2022 1:58:36 PM
Creation date
2/8/2022 1:46:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054015
PE
2546
FACILITY_NAME
FORWARD LANDFILL
STREET_NUMBER
9999
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106003
ENTERED_DATE
7/8/2021 12:00:00 AM
SITE_LOCATION
9999 S AUSTIN RD
RECEIVED_DATE
7/8/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />--COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # —0 Uri <br />MANDATORY CONTACTS <br />San Joaquin County Health Officer - <br />Care of Environmental Health Department <br />... Jasjit Kang Time: UV. V*Z_Nin Date: <br />San Joaquin County Board of Supervisors - <br />Care of Clerk of the Board Rachel DeBord Time:L.-V.V.-VW Date: —1 \c' \-2.— \ <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: <br />Printed name: <br />Title: RENS <br />Date: <br />e/C‘, Z AI,e,tA ,ck.rnstre)z_ li-ortilaKd Leti-4(1 <br /> <br />qqctq -At4,6i-n 120Azt <br />Matxozt_ )/I- <br />-Ow?son -Torre,5 / Mfacik SaLficifry <br /> <br />1'62_5 pncti Dr; viz_ <br />49pocLy1-0 ) <br />Elianna Flondo E . Mounao Ttorcio <br /> <br />9-oc9-I Time: 14 OPM/1- <br />Page 2 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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