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Printed name: Gabriela Garcia-Melia <br />Title: EH Specialist <br /> <br />Date: Ct/g/i2 <br /> <br />Time: y <br /> <br />Signature;----;-7'j;'7 <br />SAN,AAQUIN COUNT'', <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # \O S <br />MANDATORY CONTACTS <br />San Joaquin County Health Officer- <br />Care of Environmental Health Department <br />6'1 asjit Kang J . Time: kA . 0 Orn Date: <br />San Joaquin County Board of Supervisors - <br />Care of Clerk of the Board Rachel DeBord Time: LA; 00rOnDate: 0‘ \-2-.e \ 2...,.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 />CC: Quality Carriers <br />1208 East Kennedy Blvd. <br />Suite 132 <br />Tampa, FL 33602 <br />Advantage Heritage LLC <br />6743 BUCKEYE ST <br />CHINO, CA 91710 <br />Winsome Enterprise <br />3032 S EL DORADO ST <br />STOCKTON, CA 95206 <br />Page 2 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD