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*.�eN ineniiiN <br />Environmental Health Department <br />—COUNTY— COPY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARG <br />O <br />EHD LOG # W-099 <br />—099 <br />MANDATORY CONTACTS <br />San Joaquin County Health Officer - <br />Care of Environmental Health Department <br />Linda Turkatte <br />Time: I , 2 om <br />Date: <br />San Joaquin County Board of Supervisors - <br />Care of Clerk of the Board <br />Mimi Duzenski <br />Time: (j:'M X1'1 <br />Date: <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: <br />Printed name: <br />Title: Lead Senior REHS <br />Date: ? Time: <br />T <br />T()urrl- T�ranS+^tatiun <br />owi eup F -W QS ca _ <br />3(Q SaAAtl Pore- it <br />cmnf'url NT o� a (C 37-W <br />milr l Nufic 41 W Ctmpa '� <br />&A'( HOD Dotxjlm St ffIS 100 <br />Oma.rla NE Co0--T9 <br />Page 2 of 2 <br />1868 E. Hazelton Avenue J Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />