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SANJOAQUIN Environmental Health Department <br /> C0UN 'iY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE ff ii <br /> EHD LOG# <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- I <br /> Care of Environmental Health Departme Linda Turkatte Time: �',Z�G1111 Date: ID` I� <br /> San Joaquin County Board of Supervisors- Q <br /> Care of Clerk of the Board Mimi Duzenski Time: I I, m Date: O I I O I�' <br /> HEALTH AND SAFETY CODE25180.7 <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 /> section shall require forfeiture of government employment within thirty days of conviction. <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: L:�, MW, <br /> Printed name: Lydia Baker <br /> Title: EH e ialis <br /> Date: Time: <br /> �}wo rvu p <br /> Rttn Oebcrmh Orew[ard <br /> _7tD Com Im.erCQ- Dr. <br /> Ock k Bvwv-- IL Cp0 S 23— 15 Lf(,P <br /> P%e" UV)iu� Paafic P -Lr ( rnPan� <br /> MW ' Iyoo Dcuq las st r s I(p qo <br /> Omaha /uE 64)7-9 — 1001 <br /> Page 2 of 2 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />